Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JASON MATTHEW MACCANNON, ATC, LAT
Active Sole ProprietorJASON MATTHEW MACCANNON, ATC, LAT is a Athletic Trainer healthcare provider located in PRINCESS ANNE, Maryland. NPI 1548863186 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · PRINCESS ANNE, MD
Registration Details
- NPI Number
- 1548863186
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 17, 2020 (5.7043939817539 yrs)
- Last Updated
- Nov 17, 2020
- License
-
A0001341 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
COLLEGE BACKBONE RDPRINCESS ANNE, MD, 21853Browse MD providers · Browse ZIP 21853
- Phone
- 4106516510
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in PRINCESS ANNE, MD
| Name | Credential | NPI |
|---|---|---|
| MS. PATRICIA ANN NATIVIO | LAT | 1487263760 |
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.