Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251S0007X | Physical Therapist - Sports | 6646 | OH |
N | 2251X0800X | Physical Therapist - Orthopedic | 6646 | OH |
NPI | 1497971964 |
---|---|
Provider Name | Dr. Brian Edward Jans |
First Address | Tipp City, OH 45371-8969 |
Second Address | Tipp City, OH 45371-1433 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2007 |
Last Update Date | 08/07/2007 |