Christopher Lee Donner
Individual provider Active NPI Athletic Trainer · Washington, IL
NPI 1871980359 · NPPES record last updated Dec 8, 2016
Key facts
- NPI
- 1871980359
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 1045 Mallard Way
Washington, IL 61571-8000 - Phone
- (309) 678-2300
- NPI assigned
- Apr 22, 2015
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
1045 Mallard Way
Washington, IL 61571-8000
Mailing address
335 Campus LN
Apt 109
Columbia, KY 42728-1486
Other providers in Washington, IL
- Thomas Kevin Dickerson
- David E. Dillon
- District 50 Schools Washington
- Claire Ditman
- Amanda K Donald
- Brittany J Drury
- Patricia A Duckwiler
- Alecsander Dutko
- Kimberly Ann Earle
- Caitlin Mary Eigsti
All providers in Washington, IL · Athletic Trainer in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2016. 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.