Wilton Ervin Baskett II, ATC

Individual provider Active NPI Athletic Trainer · Angier, NC

NPI 1982189890 · NPPES record last updated Mar 24, 2022

Key facts

NPI
1982189890
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
Practice address
2911 Harnett Central Rd
Angier, NC 27501-8478
Phone
(252) 432-4821
NPI assigned
Sep 26, 2018
Sex
Male
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

Addresses

Primary practice location

2911 Harnett Central Rd
Angier, NC 27501-8478

Mailing address

473 Cedar Cove Rd
Henderson, NC 27537-8983

Other providers in Angier, NC

All providers in Angier, NC · Athletic Trainer in North Carolina

Sources for this page

Verify at the official NPI Registry.