Blystone, Jennifer Wally
Blystone, Jennifer Wally is an sole proprietor health care provider with primary practice located at 5140 White Oak Dr , Indiana PA 15701-9479. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Blystone, Jennifer Wally can be contacted via phone (724) 463-9071.Contact Information
Primary practice address
5140 White Oak Dr
Indiana PA 15701-9479
Phone: (724) 463-9071
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | RT001482A | Pennsylvania |
Profile Details
| NPI number | 1912147893 |
|---|---|
| LBN Legal business name | Blystone, Jennifer Wally |
| Credentials | ATC, EMT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 4th, 2009 |
| Last updated | Mar 4th, 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.
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