Provider Demographics
NPI:1386608826
Name:ROMKEMA, JON PATRICK (AT,C)
Entity type:Individual
Prefix:MR
First Name:JON
Middle Name:PATRICK
Last Name:ROMKEMA
Suffix:
Gender:M
Credentials:AT,C
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Mailing Address - Street 1:635 PLYMOUTH DR
Mailing Address - Street 2:
Mailing Address - City:MUSKEGON
Mailing Address - State:MI
Mailing Address - Zip Code:49445-2856
Mailing Address - Country:US
Mailing Address - Phone:231-744-2439
Mailing Address - Fax:
Practice Address - Street 1:1675 LEAHY ST
Practice Address - Street 2:SUITE 200
Practice Address - City:MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49442-5500
Practice Address - Country:US
Practice Address - Phone:231-728-4820
Practice Address - Fax:231-728-4041
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2007-11-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer