Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DANIEL DESHONG, ATC
Active Sole ProprietorDANIEL DESHONG, ATC is a Athletic Trainer healthcare provider located in PORT MONMOUTH, New Jersey. NPI 1558777904 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · PORT MONMOUTH, NJ
Registration Details
- NPI Number
- 1558777904
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 7, 2014 (12.088715987782 yrs)
- Last Updated
- Jul 7, 2014
- License
-
25MT00197800 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
613 PARK AVEPORT MONMOUTH, NJ, 077581616Browse NJ providers · Browse ZIP 07758
- Phone
- 2014017311
- Primary Specialty
-
Athletic Trainer
2255A2300X
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.