Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JASON CLIFFORD HALVERSON, MA, ATC, CSCS
Active Sole ProprietorMR. JASON CLIFFORD HALVERSON, MA, ATC, CSCS is a Athletic Trainer healthcare provider located in BOLIVAR, Missouri. NPI 1396954004 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · BOLIVAR, MO
Registration Details
- NPI Number
- 1396954004
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 21, 2007 (19.189724312498 yrs)
- Last Updated
- Jul 8, 2007
- License
-
2004001637 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1600 UNIVERSITY AVEBOLIVAR, MO, 656132578Browse MO providers · Browse ZIP 65613
- Phone
- 4173282070
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in BOLIVAR, MO
| Name | Credential | NPI |
|---|---|---|
| PROF. TODD ALLEN JOHN | ATC/L | 1578555868 |
| MR. MORGAN WAYNE SIMPSON | ATC, LAT | 1295727667 |
| MR. DAVID ALAN GORDON | AT | 1558334771 |
| MR. MIKE ALLEN WOLHOY | ATC | 1871690586 |
| MRS. JESSICA HICKS | AT | 1972631604 |
| MR. TONY HARRIS | LAT | 1518378108 |
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.