Campolongo, Jill C
Campolongo, Jill C is an individual health care provider with primary practice located at 7591 Tylers Place Blvd , West Chester OH 45069-6308. 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. Campolongo, Jill C can be contacted via phone (137) 556-6005.Contact Information
Primary practice address
7591 Tylers Place Blvd
West Chester OH 45069-6308
Phone: (137) 556-6005
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 05009249A | Indiana |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT012157 | Ohio |
Profile Details
| NPI number | 1225234396 |
|---|---|
| LBN Legal business name | Campolongo, Jill C |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 25th, 2007 |
| Last updated | Jun 24th, 2022 - about 2 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 | 1225234396 | NPPES |
| Ohio | MEDICAID | 0406425 |
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