Provider Demographics
NPI:1689309221
Name:VOS, JONATHON (MAS, LAT, ATC)
Entity Type:Individual
Prefix:
First Name:JONATHON
Middle Name:
Last Name:VOS
Suffix:
Gender:M
Credentials:MAS, LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7000 MERCY RD
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68106-2632
Mailing Address - Country:US
Mailing Address - Phone:402-399-2400
Mailing Address - Fax:
Practice Address - Street 1:7000 MERCY RD
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68106-2632
Practice Address - Country:US
Practice Address - Phone:402-399-2400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-18
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE11012255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer