Buitrago, Erick A
Buitrago, Erick A is an sole proprietor health care provider with primary practice located at Athletic Training Department Arena Rm B-17, Terre Haute IN 47809-0001. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Buitrago, Erick A can be contacted via phone (812) 237-4066.Contact Information
Primary practice address
Athletic Training Department Arena Rm B-17
Terre Haute IN 47809-0001
Phone: (812) 237-4066
Fax: (812) 237-9612
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 36001258A | Indiana |
Profile Details
| NPI number | 1891705026 |
|---|---|
| LBN Legal business name | Buitrago, Erick A |
| Credentials | M.S.ED., LAT, ATC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 9th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891705026 | NPPES |
| Indiana | Other | 36001258A | ATHLETIC TRAINER LICENSE |
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