Robert Richard Dejohn Jr., ATC

Athletic Trainer · Tonawanda, NY

Individual Active NPI

NPI number 1083687453

Practice location

2540 Sheridan Dr
Tonawanda, NY 14150-9410
Phone
(716) 862-0567

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NPI record

NPI
1083687453
Entity type
Individual (Type 1)
Enumeration date
February 8, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X 000162 NY

Mailing address

65 Harriet St
Tonawanda, NY 14150-2309
Phone
(716) 867-0168

About Robert Dejohn

Robert Richard Dejohn Jr., ATC is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 2540 Sheridan Dr, Tonawanda, NY 14150-9410. The NPI number 1083687453 was assigned on February 8, 2006 and the record was last updated on July 8, 2007.

Robert Dejohn lists a license in the registry: #000162 (NY) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Robert Richard Dejohn Jr., ATC?

The NPI number is 1083687453.

What is the phone number of Robert Dejohn?

The phone number listed for the practice location is (716) 862-0567.

Where is Robert Dejohn located?

2540 Sheridan Dr, Tonawanda, NY 14150-9410.

What is the taxonomy code for Robert Dejohn?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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