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Contact Information

MERCEDES INGRAM, LAT, ATC
833 HUFFS CHURCH ROAD
ALBURTIS, PA18011
 Phone: 610-845-8767
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for MERCEDES INGRAM · (Female)

NPI Number 1205297272
Status Active
Credentials LAT, ATC
Entity Individual
Enumeration date 03/17/2016
Last updated 03/17/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • PA License # RT006113
  • PA Other 2000020722 BOC
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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