Barrack, Jeanette T.
Barrack, Jeanette T. is an individual health care provider with primary practice located at 5360 Jackson Dr , La Mesa CA 91942-6002. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Barrack, Jeanette T. can be contacted via phone (616) 667-7000.Contact Information
Primary practice address
5360 Jackson Dr
La Mesa CA 91942-6002
Phone: (616) 667-7000
Fax: (619) 667-4315
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 11265 | California |
Profile Details
| NPI number | 1295940369 |
|---|---|
| LBN Legal business name | Barrack, Jeanette T. |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2007 |
| Last updated | Sep 8th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295940369 | NPPES |
| California | Other | 1023103330 | NPI |
| California | Other | PT11265 | NPI |
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