National Provider Identifier
Robert Richard Dejohn Jr., ATC
Robert Richard Dejohn Jr., ATC is listed in the NPPES registry with a primary specialty of Athletic Trainer in Tonawanda, NY and a listed phone number of (716) 862-0567.
Profile Overview
- NPI
- 1083687453
- Provider Type
- Individual
- Primary Specialty
- Athletic Trainer
- Enumeration Date
- February 08, 2006
- Last Updated
- July 08, 2007
Practice Location
- 2540 Sheridan Dr
- Tonawanda, NY 14150-9410
Phone: (716) 862-0567
Mailing Address
- 65 Harriet St
- Tonawanda, NY 14150-2309
Specialties
- Athletic Trainer (2255A2300X)
Full Record
- NPI
- 1083687453
- Entity Type
- Individual
- Last Name
- Dejohn
- First Name
- Robert
- Middle Name
- Richard
- Name Prefix
- Mr.
- Name Suffix
- Jr.
- Credential
- ATC
- Mailing Street Address
- 65 Harriet St
- Mailing City
- Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14150-2309
- Mailing Country
- US
- Mailing Phone
- (716) 867-0168
- Practice Street Address
- 2540 Sheridan Dr
- Practice City
- Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14150-9410
- Practice Country
- US
- Practice Phone
- (716) 862-0567
- Enumeration Date
- February 08, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Athletic Trainer (2255A2300X)