Martin Baker, ATC
Individual provider Active NPI Athletic Trainer · Elon, NC
NPI 1851541874 · NPPES record last updated Sep 26, 2008
Key facts
- NPI
- 1851541874
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- NC0336 (NC)
- Practice address
- 2500 Campus Box
Elon University at Department
Elon, NC 27244 - Phone
- (336) 278-6800
- Fax
- (336) 278-6767
- NPI assigned
- Sep 26, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NC0336 | NC | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elon University | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | NC0336 | NC | Yes |
Addresses
Primary practice location
2500 Campus Box
Elon University at Department
Elon, NC 27244
Mailing address
106 Arbor Dr
Elon, NC 27244-9100
Phone (336) 278-6800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NC0336 | Other | NC | STATE LICENSE |
Other providers in Elon, NC
- Fatema Alhajeri
- Amanda L Alston
- Shailja Amin
- Marcus Elijah Babaoff
- Raymond Babnik
- Anna Bishop Bankhead
- Benjamin Batoosingh
- Mercedes Bauza
- Andi Bender
- Bigelow Transport,LLC
All providers in Elon, NC · Athletic Trainer in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.