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Contact Information

BENITO VELASQUEZ, ATC LAT
103 CREED WAY
LINCOLN MEMORIAL UNIVERSITY
NEW TAZEWELL, TN37825
 Phone: 601-543-2002
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for BENITO VELASQUEZ · (Male)

NPI # 1194842021
Status Active
Credentials ATC LAT
Entity Individual
Enumeration date 03/24/2007
Last updated 08/04/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • MS License # AT 0113
  • TX License # AT4914
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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