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Contact Information

DANIEL W GOTTHARDT, ATC, EMT-B, CSCS
732 AUTUMN CIR
WILLIAMSBURG, VA23188
 Phone: 757-810-4573
 Fax:
 Website: http://www.dominionsportsmedicine.com
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for DANIEL W GOTTHARDT · (Male)

NPI Number 1598728057
Status Active
Credentials ATC, EMT-B, CSCS
Entity Individual
Enumeration date 04/07/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0126000127
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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