MR. EVAN RICHARD MULDER DAT, LAT, OTC
NPI 1356745640
Specialist/Technologist - Athletic Trainer in Manitowoc, WI
NPI Status: Active since October 15, 2014
Contact Information
501 N 10TH ST
MANITOWOC, WI
ZIP 54220
Phone: (920) 682-6376
Fax: (920) 652-0115
- Individual
- Male
- Specialist/Technologist
- Athletic Trainer
About EVAN MULDER
This page provides the complete NPI Profile along with additional information for Evan Mulder, a provider established in Manitowoc, Wisconsin with a medical specialization in Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1356745640 assigned on October 2014. The practitioner's primary taxonomy code is 2255A2300X with license number 1554-39 (WI). The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1356745640
- Provider Name
- MR. EVAN RICHARD MULDER DAT, LAT, OTC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 501 N 10TH ST MANITOWOC, WI 54220
- Location Phone
- (920) 682-6376
- Location Fax
- (920) 652-0115
- Mailing Address
- 164 N BROADWAY GREEN BAY, WI 54303
- Mailing Phone
- (920) 490-9046
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-15-2014
- Last Update Date
- 02-11-2019
- Code Navigator
Location Map
Secondary Locations
- 155 Radio Dr
Woodbury, MN 55125
(920) 831-8742
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist/Technologist Athletic Trainer
- Taxonomy Code
- 2255A2300X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 1554-39
- License State
- WI
- Taxonomy Description
- Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2255A2300X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Specialist/Technologist | 1554-39 (MN) |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1356745640, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 60 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
MANITOWOC, WI 54220
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356745640, enumerated as an "individual" on October 15, 2014.
The provider is located at 501 N 10TH ST MANITOWOC, WI 54220 and the phone number is (920) 682-6376.
Specialist/Technologist with taxonomy code 2255A2300X and a focus in Athletic Trainer.
