Individual
JOHNATHAN ALBERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17 PARKVIEW DR, WHITELAND, IN 46184-1247
(317) 439-5610
Mailing address
17 PARKVIEW DR, WHITELAND, IN 46184-1247
(317) 439-5610
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
1276-6403
IN
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/06/2016
Last updated
10/06/2016
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