Oa Associated LLC

Athletic Trainer · Belleville, IL

Organization Active NPI

NPI number 1699061259

Practice location

4550 Memorial Dr
Moc-1, Suite G-100
Belleville, IL 62226-5372
Phone
(618) 236-2246
Fax
(618) 236-2315

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NPI record

NPI
1699061259
Entity type
Organization (Type 2)
Enumeration date
June 22, 2011
Last updated
June 22, 2011
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X 096002594 IL

Authorized official

Name
Jason Daniel Noeldner, ATC,LAT
Title
Athletic Trainer
Phone
(618) 236-2246

Other names

  • Southern Illinois Sports Medicine

About Oa Associated LLC

Oa Associated LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 4550 Memorial Dr, Moc-1, Suite G-100, Belleville, IL 62226-5372. The NPI number 1699061259 was assigned on June 22, 2011 and the record was last updated on June 22, 2011.

Oa Associated LLC lists a license in the registry: #096002594 (IL) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Jason Daniel Noeldner, ATC,LAT, Athletic Trainer.

Frequently asked questions

What is the NPI number of Oa Associated LLC?

The NPI number is 1699061259.

What is the phone number of Oa Associated LLC?

The phone number listed for the practice location is (618) 236-2246.

Where is Oa Associated LLC located?

4550 Memorial Dr, Moc-1, Suite G-100, Belleville, IL 62226-5372.

What is the taxonomy code for Oa Associated LLC?

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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