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Contact Information

BRIAN E MAHONEY, ATC, LAT
8907 KANIS ROAD
STE. 400
LITTLE ROCK, AR72205
 Phone: 501-663-4320
 Fax: 501-978-1452
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for BRIAN E MAHONEY · (Male)

NPI # 1427261114
Status Active
Credentials ATC, LAT
Entity Individual
Enumeration date 05/08/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • AR License # AT 227
  • AR Other AT 227 ATHLETIC TRAINING LIC.
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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