Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ELDRIDGE E BALTAZAR, L/ATC
Active Sole ProprietorMR. ELDRIDGE E BALTAZAR, L/ATC is a Athletic Trainer healthcare provider located in FORT BRAGG, North Carolina. NPI 1376285767 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · FORT BRAGG, NC
Registration Details
- NPI Number
- 1376285767
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 7, 2022 (4.3107923772194 yrs)
- Last Updated
- Jul 27, 2022
- License
-
2397 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2416 KEERANS ST 82ND 3BCTFORT BRAGG, NC, 283107243Browse NC providers · Browse ZIP 28310
- Phone
- 9109849119
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in FORT BRAGG, NC
| Name | Credential | NPI |
|---|---|---|
| MR. ANDREW BOYD SIMMONS SR. | ATHLETIC TRAINER | 1447525381 |
| MR. CRAIG ROBERT CAMPBELL | ATC | 1699039180 |
| NAOMI S CHANG | ATC | 1740545680 |
| BRANDON TEW | — | 1326303686 |
| ALLYSSA RICHARDSON | ATC, LAT | 1922429539 |
| SHANE RYAN | — | 1750798096 |
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.