Ethan T. Pcolar, ATC

Athletic Trainer · Campbell, CA

Individual Active NPI

NPI number 1841648870

Practice location

4805 Westmont Ave
Campbell, CA 95008-5725
Phone
(845) 518-4259

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NPI record

NPI
1841648870
Entity type
Individual (Type 1)
Enumeration date
May 31, 2016
Last updated
May 31, 2016
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X 2000021531 NY

Mailing address

945 Foothill Dr
San Jose, CA 95123-2628
Phone
(845) 518-4259

About Ethan Pcolar

Ethan T. Pcolar, ATC is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 4805 Westmont Ave, Campbell, CA 95008-5725. The NPI number 1841648870 was assigned on May 31, 2016 and the record was last updated on May 31, 2016.

Ethan Pcolar lists a license in the registry: #2000021531 (NY) 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 Ethan T. Pcolar, ATC?

The NPI number is 1841648870.

What is the phone number of Ethan Pcolar?

The phone number listed for the practice location is (845) 518-4259.

Where is Ethan Pcolar located?

4805 Westmont Ave, Campbell, CA 95008-5725.

What is the taxonomy code for Ethan Pcolar?

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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