Active NPIIndividual providerSole proprietor

Dwayne E Johnson

Health & Wellness Coach in Willingboro, New Jersey

NPI Number1407503378
Practice location
Jfk Senior Center, 429 Jfk Way, Willingboro, NJ 08046
Fax
—
Last updated
March 9, 2022

Dwayne E Johnson is a Health & Wellness Coach based in Willingboro, NJ. Dwayne E Johnson practices in Willingboro, NJ. The NPI Number for Dwayne E Johnson is 1407503378. The current practice location address for Dwayne E Johnson is Jfk Senior Center, 429 Jfk Way, Willingboro, NJ 08046 and can be reached out via phone at 609-850-0055.

Provider Profile Details

NPI Number
1407503378
Provider Name
Dwayne E Johnson
Provider Entity Type
Individual
Gender
Male
Address
Jfk Senior Center, 429 Jfk Way, Willingboro, NJ 08046
Phone Number
609-850-0055
Primary Taxonomy
Health & Wellness Coach · 171400000X
Sole Proprietor
Yes
Provider Enumeration Date
March 9, 2022
Last Update Date
March 9, 2022
Certification Date
February 23, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
Jfk Senior Center
429 Jfk Way
Willingboro, NJ 08046
Zip
08046
Phone Number
609-850-0055
Willingboro, NJ 08046Get directions →

Provider Business Mailing Address Details

Address
1 Chalford Ln
Willingboro, NJ 08046-3401
City
Willingboro
State
NJ
Zip
08046-3401
Phone Number
609-850-0055
Fax Number
866-534-9942

License Information

Taxonomy
Health & Wellness Coach · 171400000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dwayne E Johnson?

The NPI number of Dwayne E Johnson is 1407503378. It was assigned on March 9, 2022 and is currently active in the NPPES registry.

What is the specialty of Dwayne E Johnson?

Dwayne E Johnson is registered under the primary taxonomy Health & Wellness Coach (code 171400000X).

Where does Dwayne E Johnson practice?

The practice location is Jfk Senior Center, 429 Jfk Way, Willingboro, NJ 08046. The office can be reached at 609-850-0055 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407503378 directly on the NPPES registry website.

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