Elizabeth Berghammer, ATS

Individual provider Active NPI Athletic Trainer · Oshkosh, WI

NPI 1962870568 · NPPES record last updated Sep 13, 2015

Key facts

NPI
1962870568
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
Practice address
785 High Ave
Oshkosh, WI 54901-4103
Phone
(920) 424-7142
NPI assigned
Sep 13, 2015
Sex
Female
Sole proprietor
No

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)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X Yes
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

785 High Ave
Oshkosh, WI 54901-4103

Mailing address

4438 Cherokee TRL
Hubertus, WI 53033-9798

Other providers in Oshkosh, WI

All providers in Oshkosh, WI · Athletic Trainer in Wisconsin

Sources for this page

Verify at the official NPI Registry.