Blady, Jaclyn
Blady, Jaclyn is an sole proprietor health care provider with primary practice located at 3075 Ridge Pike , Eagleville PA 19403. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Blady, Jaclyn can be contacted via phone (215) 962-8872.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | PT016691 | Pennsylvania |
Profile Details
| NPI number | 1477797389 |
|---|---|
| LBN Legal business name | Blady, Jaclyn |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 22nd, 2009 |
| Last updated | Apr 22nd, 2009 - about 15 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 | 1477797389 | NPPES |
| Pennsylvania | Other | 100980602 | MA NUMBER |
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