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Contact Information

JULIE L GRIFFIN, ATC, AT
PORTAGE NORTHERN HIGH SCHOOL
1000 IDAHO AVE
PORTAGE, MI49024
 Phone: 269-323-5400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for JULIE L GRIFFIN · (Female)

NPI Number 1699279240
Status Active
Credentials ATC, AT
Entity Individual
Enumeration date 03/20/2018
Last updated 03/20/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 2601001698
  • Other 2000023797 BOARD OF CERTIFICAITON INC, ATHLETIC TRAINER
  • MI Other 2000023797 MICHIGAN STATE LICENSURE, ATHLETIC TRAINER
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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