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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225234396 NPPES
Ohio MEDICAID 0406425

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