Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THE MOG LLC
Active OrganizationTHE MOG LLC is a Athletic Trainer organization located in SOUTH PORTLAND, Maine. NPI 1295242923 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · SOUTH PORTLAND, ME
Registration Details
- NPI Number
- 1295242923
- Provider Type
- Organization
- NPI Issued
- Jan 3, 2018 (8.6300574659102 yrs)
- Last Updated
- Jun 16, 2018
- Licenses
-
AT241 (ME)AT500 (ME)AT433 (ME)
Practice Information
- Address
-
125 JOHN ROBERTS RD STE 16SOUTH PORTLAND, ME, 041066983Browse ME providers · Browse ZIP 04106
- Phone
- 2073473030
- Fax
- 2075364449
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Athletic Trainer
- Additional Specialty
- Athletic Trainer
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.