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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NICHOLAS SCOTT DESHANE, ATC, CSCS

Active Sole Proprietor

NICHOLAS SCOTT DESHANE, ATC, CSCS is a Athletic Trainer healthcare provider located in CAMP PENDLETON, California. NPI 1841513694 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · CAMP PENDLETON, CA

Registration Details

NPI Number
1841513694
Provider Type
Individual
Gender
Male
NPI Issued
Mar 9, 2010 (16.424647801926 yrs)
Last Updated
Mar 9, 2010
Sole Proprietor
Yes

Practice Information

Address
520420. ATTN SMART CLINIC
SOI WEST, CAMP PENDLETON
CAMP PENDLETON, CA, 92055
Browse CA providers · Browse ZIP 92055
Phone
7607257029
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in CAMP PENDLETON, CA

Name Credential NPI
MRS. REBECCA STYERS ATC 1568407328
MR. WILMER JOE FILAMOR ATC 1962545566
JEREMY E RANK ATC 1700303336
JOSHUA WATERSJACKSON ATC 1548869571
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.