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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DONALD P NIELSEN, ATC

Active Sole Proprietor

DONALD P NIELSEN, ATC is a Athletic Trainer healthcare provider located in ST. CHARLES, Illinois. NPI 1265564835 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · ST. CHARLES, IL

Registration Details

NPI Number
1265564835
Provider Type
Individual
Gender
Male
NPI Issued
Mar 9, 2007 (19.42013979315 yrs)
Last Updated
Feb 24, 2015
License
96000029 (IL)
Sole Proprietor
Yes

Practice Information

Address
1020 DUNHAM ROAD
ST. CHARLES EAST HIGH SCHOOL
ST. CHARLES, IL, 60174
Browse IL providers · Browse ZIP 60174
Phone
3312284339
Primary Specialty
Athletic Trainer
2255A2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.