Eric Haque Khondaker
Eric Haque Khondaker is an Athletic Trainer in Beloit, Wisconsin. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
700 College StBeloit, WI 53511-5509
Phone: (319) 931-3649
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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 | 1811671068 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 9, 2023 |
| Last updated in NPPES | June 9, 2023 |
| Certification date | June 9, 2023 |
| Mailing address | 700 College St, Beloit, WI 53511-5509 |
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