Individual
JAMES AARON DASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1419 W ALLEN ST, BLOOMINGTON, IN 47403-2930
(317) 331-0966
Mailing address
1419 W ALLEN ST, BLOOMINGTON, IN 47403-2930
(317) 331-0966
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14193938
ATHLETICS
IN
Enumeration date
10/27/2019
Last updated
10/27/2019
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