Individual
NICHOLAS DAVID SCHAEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
515 READ ST, EVANSVILLE, IN 47710-1739
(812) 424-9291
Mailing address
2304 WEDEKING AVE, EVANSVILLE, IN 47711-4238
(812) 430-4587
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36003091A
IN
Other
Enumeration date
10/31/2018
Last updated
10/31/2018
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