Jacob Johnson
Jacob Johnson is an Athletic Trainer in Dearborn, Michigan. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
116 Elmwood StDearborn, MI 48124-1424
Phone: (313) 506-7374
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X |
|---|
Record details
| NPI number | 1912568320 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 26, 2019 |
| Last updated in NPPES | November 27, 2023 |
| Mailing address | 116 Elmwood St, Dearborn, MI 48124-1424 |
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