Individual
ERIC DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8936 SOUTH SHELBY STE A-1, INDIANAPOLIS, IN 46227
(317) 888-3838
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002572A
IN
246Z00000X
Other Specialist/Technologist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/14/2015
Last updated
05/03/2016
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