1639134547 NPI number — MR. JAMES WARREN OCHSE ATC, CSCS,D, NSCA-C

Table of content: MR. JAMES WARREN OCHSE ATC, CSCS,D, NSCA-C (NPI 1639134547)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1639134547 NPI number — MR. JAMES WARREN OCHSE ATC, CSCS,D, NSCA-C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
OCHSE
Provider First Name:
JAMES
Provider Middle Name:
WARREN
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
ATC, CSCS,D, NSCA-C
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1639134547
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/06/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1525 CHURCH RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ALLENTOWN
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18103-8334
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
610-798-0353
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
DESALES UNIVERSITY
Provider Second Line Business Practice Location Address:
2755 STATION AVE.
Provider Business Practice Location Address City Name:
CENTER VALLEY
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18034-9668
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-282-1100
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/20/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2255A2300X , with the licence number:  RT001722A , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 22 . This is a "CERT. ATHLETIC TRAINER" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".