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Organization

BELLINHEALTH

Active
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Organization

BELLINHEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHAD CARTER LAT (LICENSED ATHLETIC TRAINER)
(920) 430-4750
Entity
Organization

Contact information

Practice address
1630 COMMANCHE AVE, GREEN BAY, WI 54313-5753
(920) 430-4750
Mailing address
1630 COMMANCHE AVE, GREEN BAY, WI 54313-5753

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
383-039
WI

Other

Enumeration date
12/07/2005
Last updated
08/22/2020
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