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JADE T JOHNSON, ATC – NPI #1073083457
Sports Medicine

NPI Profile for JADE T JOHNSON in WAYNE, NE.

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Contact Information

JADE T JOHNSON, ATC
1111 MAIN ST
WAYNE, NE  68787-1181
 Phone: 402-375-7162
 Fax:
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Sports Medicine

 2083S0010X 84 Physician/Preventive Medicine
 

Sports Medicine

 2081S0010X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for JADE T JOHNSON · (Female)

NPI # 1073083457
Status Active
Credentials ATC
Entity Individual
Enumeration date 11/28/2018
Last updated 11/28/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • NE License # 777
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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