Bazemore, Jenna Raye
Bazemore, Jenna Raye is an individual health care provider with primary practice located at 1499 Fair Rd , Statesboro GA 30458-1683. 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. Bazemore, Jenna Raye can be contacted via phone (912) 486-1680.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT010617 | Georgia |
Profile Details
| NPI number | 1396182184 |
|---|---|
| LBN Legal business name | Bazemore, Jenna Raye |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2013 |
| Last updated | Jun 3rd, 2013 - about 12 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.
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