Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DEREK ALAN EWALD, ATC
Active Sole ProprietorMR. DEREK ALAN EWALD, ATC is a Athletic Trainer healthcare provider located in NILES, Michigan. NPI 1538177696 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · NILES, MI
Registration Details
- NPI Number
- 1538177696
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 4, 2006 (19.995303684228 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
1960 S 11TH STNILES, MI, 491204059Browse MI providers · Browse ZIP 49120
- Phone
- 2686836800
- Fax
- 2696836888
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in NILES, MI
| Name | Credential | NPI |
|---|---|---|
| MR. ROBERT JOHN TAYLOR JR. | ATC,CSCS,NASM-PES | 1306811245 |
| BETH ANN DODSON | ATC | 1437281201 |
| JOSHUA MICHAEL EDDY | ATC | 1285157156 |
| MACY KUJAWA | ATC, LAT | 1962087015 |
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.