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Contact Information

JASON R RADEMACHER, ATC, LAT
112 BROAD STREET
RED BANK, NJ07701
 Phone: 732-747-1211
 Fax: 732-747-6744
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for JASON R RADEMACHER · (Male)

NPI Number 1114083854
Status Active
Credentials ATC, LAT
Entity Individual
Enumeration date 12/28/2006
Last updated 09/04/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 25MT00145500
  • TN License # 1043
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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