Jesse Paul Johnson in Ypsilanti - Athletic Trainer
Jesse Paul Johnson - NPI 1811042930
Jesse Paul Johnson is a Athletic Trainer in Ypsilanti, Michigan. Jesse Paul Johnson practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Jesse Paul Johnson is 1811042930. The last update date is 2007-07-08.
Jesse Paul Johnson's current location address is 6513 Meadowlark Ln, Ypsilanti, Michigan. You can contact this provider via phone number 7349307400. The mailing address for Jesse Paul Johnson is 6513 Meadowlark Ln, Ypsilanti, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jesse Paul Johnson |
|---|---|
| Address | 6513 Meadowlark Ln, Ypsilanti, Michigan |
| Phone Number | 7349307400 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | ATC |
NPI Number Detail
| NPI Number | 1811042930 |
|---|---|
| Provider Enumeration Date | 2007-01-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6513 Meadowlark Ln |
|---|---|
| City | Ypsilanti |
| State | Michigan (MI) |
| Post Code | 481976171 |
| Phone Number | 7349307400 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Athletic Trainer |
|---|---|
| Taxonomy | 2255A2300X |
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Definition: 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-leve |
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What is the unique 10-digit identifier code assigned to Jesse Paul Johnson by the Centers for Medicare & Medicaid Services?
The Jesse Paul Johnson has been issued the NPI (National Provider Identifier) 1811042930 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Jesse Paul Johnson?
The Jesse Paul Johnson is situated at 6513 Meadowlark Ln, in the city of Ypsilanti, state of MI, with the zip code 481976171.
What is the area of specialization for Jesse Paul Johnson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jesse Paul Johnson is Athletic Trainer, and the corresponding taxonomy code that categorizes this area of expertise is 2255A2300X.
On what date did the Jesse Paul Johnson receive its 1811042930 assignment from the Centers for Medicare & Medicaid Services?
The Jesse Paul Johnson was assigned its 1811042930 by the Centers for Medicare & Medicaid Services on 2007-01-25.
As of what date were the details pertaining to Jesse Paul Johnson last refreshed?
The information related to the Jesse Paul Johnson, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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