Jacqueline Durst, ATC, LAT
Emergency Medicine, Sports Medicine in Frostburg, MD. Individual provider (NPI-1).
NPI number1003203068
StatusActive
Last updated in NPPESApr 16, 2015
Details
- NPI
- 1003203068
- Entity type
- Individual (NPI-1)
- Name
- Jacqueline Durst
- Credential
- ATC, LAT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 16, 2015
- Last updated
- Apr 16, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207PS0010X | Emergency Medicine, Sports Medicine | A00192 | MD | Yes |
Practice location
101 Braddock RdFrostburg State University Kinesiology Department
Frostburg, MD 21532-2303
Phone 301-697-2801
Mailing address
27 Frost AveFrostburg, MD 21532-1623
Phone 301-697-2801
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Sports Medicine (Emergency Medicine) Physician providers in Frostburg, MD
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.