Chouinard, Jessica L

Chouinard, Jessica L is an individual health care provider with primary practice located at 2300 Western Ave , Manitowoc WI 54220-3712. 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. Chouinard, Jessica L can be contacted via phone (920) 320-8667.

Contact Information

Primary practice address
2300 Western Ave Manitowoc WI 54220-3712
Phone: (920) 320-8667
Fax: (920) 320-8616
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 11282-024 Wisconsin

Profile Details

NPI number 1033348388
LBN Legal business name Chouinard, Jessica L
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2009
Last updated Jul 8th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1033348388 NPPES
Wisconsin MEDICAID 41220000

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