Individual
TANNER PATRICK KRUMWIEDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC
Contact information
Practice address
800 N STATE, JERSEYVILLE, IL 62052-6205
(618) 498-5521
Mailing address
800 N STATE, JERSEYVILLE, IL 62052
(618) 498-5521
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096004524
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
096004524
STATE OF ILLINOIS
IL
01
—
2000027086
NATIONAL BOARD OF CERTIFICATION
—
Enumeration date
04/25/2022
Last updated
04/25/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us