Dejong, Gregory James

Dejong, Gregory James is an individual health care provider with primary practice located at W1910 Sleepy Hollow Ct , Kaukauna WI 54130-9429. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Dejong, Gregory James can be contacted via phone (920) 788-4760.

Contact Information

Primary practice address
W1910 Sleepy Hollow Ct Kaukauna WI 54130-9429
Phone: (920) 788-4760
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 74-039 Wisconsin

Profile Details

NPI number 1295883478
LBN Legal business name Dejong, Gregory James
Credentials Licensed Athletic Trainer (LAT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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