MR. JON DALE DIECKMAN ATC
NPI 1376613588
Specialist/Technologist - Athletic Trainer in Madison, MS
About Mr. Jon Dale Dieckman Atc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JON DALE DIECKMAN ATC (NPI 1376613588) is an individual athletic trainer provider in Madison, Mississippi, licensed in Mississippi (AT0059) and active in the NPI registry since November 2006.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jon Dieckman's NPI number?
The NPI number for Jon Dieckman is 1376613588. It was assigned to this individual provider in the NPPES registry on November 8, 2006.
Where is Jon Dieckman located?
Jon Dieckman practices at 506 Lincoln Cv, Madison, MS 39110. The listed phone number is (601) 853-7765.
What is Jon Dieckman's specialty?
The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.
When was this NPI record last updated?
The NPPES record for Jon Dieckman was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.