Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ERIC M. PROM, LAT
ActiveERIC M. PROM, LAT is a Athletic Trainer healthcare provider located in MINOCQUA, Wisconsin. NPI 1750683751 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · MINOCQUA, WI
Registration Details
- NPI Number
- 1750683751
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 23, 2010 (15.701171863463 yrs)
- Last Updated
- Aug 22, 2013
- License
-
1218 (WI)
Practice Information
- Address
-
9601 TOWNLINE RDMINOCQUA, WI, 545489099Browse WI providers · Browse ZIP 54548
- Phone
- 7153581000
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in MINOCQUA, WI
| Name | Credential | NPI |
|---|---|---|
| CASSANDRA J. TILTGES | LAT | 1093082091 |
| AMANDA H. WILLIAMSON | LAT | 1639503956 |
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.