Bostic, Jennifer Dawn

Bostic, Jennifer Dawn is an individual health care provider with primary practice located at 476 W Us Highway 50 Ste A , Versailles IN 47042-8340. 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. Bostic, Jennifer Dawn can be contacted via phone (812) 689-1771.

Contact Information

Primary practice address
476 W Us Highway 50 Ste A Versailles IN 47042-8340
Phone: (812) 689-1771
Fax: (812) 689-1778
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 36000064A Indiana

Profile Details

NPI number 1144718537
LBN Legal business name Bostic, Jennifer Dawn
Credentials LAT/ATC, PTA
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2018
Last updated May 1st, 2018 - about 6 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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