Male or Other

Evan M. Paradis BS ATC

Athletic Trainer in Old Town, ME(View on Map)

Full Name

Evan Mark Paradis BS ATC

NPI Number

1144889403

NPI Type

Individual Provider

Gender

Male

Enumeration Date

06/11/2019

Specialties

(Taxonomies)

Code

2255A2300X

Primary Taxonomy

Yes

Licenses

State

Maine

License Number

AT459

Contact
Information

Purpose

Mailing
Location

Address

100 MIDDLE ST APT 1
100 MIDDLE ST APT 1

City

Old Town
Old Town

State

ME
ME

Postal Code

04468-1480
04468-1480

Country

US
US

Telephone Number

(207) 659-9621
(207) 659-9621

Health Information Exchange

Endpoint Type

CONNECT

Endpoint

Bangor

Endpoint Description

Unknown

Use

Unknown

Content Type

Unknown

Affiliation

N

Endpoint Location

100 Middle St Apt 1Old Town, ME044681480US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/11/2019

Provider Address

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