John William Edgar, ATC

Athletic Trainer · Troy, IL

Individual Active NPI

NPI number 1699506345

Practice location

703 E Us Highway 40
Troy, IL 62294-2210
Phone
(618) 667-8851

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NPI record

NPI
1699506345
Entity type
Individual (Type 1)
Enumeration date
August 13, 2024
Last updated
August 13, 2024
Certified
August 13, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X 096001024 IL

Mailing address

327 Benedictine Ct
O Fallon, IL 62269-3580
Phone
(618) 910-0139

About John Edgar

John William Edgar, ATC is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 703 E Us Highway 40, Troy, IL 62294-2210. The NPI number 1699506345 was assigned on August 13, 2024 and the record was last updated on August 13, 2024.

John Edgar lists a license in the registry: #096001024 (IL) 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 John William Edgar, ATC?

The NPI number is 1699506345.

What is the phone number of John Edgar?

The phone number listed for the practice location is (618) 667-8851.

Where is John Edgar located?

703 E Us Highway 40, Troy, IL 62294-2210.

What is the taxonomy code for John Edgar?

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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