Edward J Prince
Edward J Prince is an Athletic Trainer in Pocatello, Idaho. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
541 N Garfield Ave Apt 1Pocatello, ID 83204-4927
Phone: (435) 764-6678
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X |
|---|
Record details
| NPI number | 1780456798 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 23, 2023 |
| Last updated in NPPES | June 14, 2024 |
| Certification date | June 14, 2024 |
| Mailing address | 541 N Garfield Ave Apt 1, Pocatello, ID 83204-4927 |
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