Brian JP McWilliams, MS, LAT, CSCS, CEAS

Athletic Trainer · De Pere, WI

Individual Active NPI

NPI number 1093865495

Practice location

1002 George St
De Pere, WI 54115-2952
Phone
(920) 360-4890

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NPI record

NPI
1093865495
Entity type
Individual (Type 1)
Enumeration date
January 10, 2007
Last updated
January 9, 2015
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X 18-039 WI

Mailing address

173 Sullivan Ln
De Pere, WI 54115-3771
Phone
(920) 360-4890

About Brian McWilliams

Brian JP McWilliams, MS, LAT, CSCS, CEAS is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 1002 George St, De Pere, WI 54115-2952. The NPI number 1093865495 was assigned on January 10, 2007 and the record was last updated on January 9, 2015.

Brian McWilliams lists a license in the registry: #18-039 (WI) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Brian JP McWilliams, MS, LAT, CSCS, CEAS?

The NPI number is 1093865495.

What is the phone number of Brian McWilliams?

The phone number listed for the practice location is (920) 360-4890.

Where is Brian McWilliams located?

1002 George St, De Pere, WI 54115-2952.

What is the taxonomy code for Brian McWilliams?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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