Chambliss, Jennie

Chambliss, Jennie is an individual health care provider with primary practice located at 6450 Spalding Dr , Peachtree Corners GA 30092-4650. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Chambliss, Jennie can be contacted via phone (847) 683-3628.

Contact Information

Primary practice address
6450 Spalding Dr Peachtree Corners GA 30092-4650
Phone: (847) 683-3628
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT007579 Georgia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X

Profile Details

NPI number 1346887726
LBN Legal business name Chambliss, Jennie
Credentials OTR/L, OTM
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2019
Last updated Dec 5th, 2019 - about 5 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 1346887726 NPPES
Georgia Other OT007579 OT LICENSE

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