WSSU SPORTS MEDICINE
NPI 1144649948
Clinic/Center - Student Health in Winston Salem, NC
Active since April 09, 2014
About Wssu Sports Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WSSU SPORTS MEDICINE (NPI 1144649948) is a healthcare organization registered as a student health in Winston Salem, North Carolina and active in the NPI registry since April 2014. The organization lists Ian Mushinski, Head Athletic Trainer, as its authorized official.
NPPES Registry Identity
NPI1144649948
Entity TypeOrganization
Primary Taxonomy261QS1000X
Legal Business NameWINSTON-SALEM STATE UNIVERSITY
Location Address1250 S MLK JR DRWinston Salem, NC 27107-1370
Mailing Address5050 Spring Valley RdDallas, TX 75244-3995 · (800) 555-9073 · Fax (972) 367-3452
Phone(336) 750-2597
Organization SubpartNo
Authorized OfficialIan MushinskiHead Athletic Trainer · (336) 750-2597
Enumeration DateApril 9, 2014
✔ NPI 1144649948 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyClinic/Center · Student HealthAmbulatory Health Care Facilities
Taxonomy Code261QS1000X
1250 S MLK JR DR, Winston Salem, NC 27107
Other Names 1
Doing Business AsWssu Sports Medicine
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144649948, enumerated as an "organization" on April 09, 2014.
The provider is located at 1250 S MLK JR DR WINSTON SALEM, NC 27107 and the phone number is (336) 750-2597.
Clinic/Center with taxonomy code 261QS1000X and a focus in Student Health.
