Colburn, Jeannine Kathleen

Colburn, Jeannine Kathleen is an individual health care provider with primary practice located at 701 3Rd St Nw , Jamestown ND 58401-2963. 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. Colburn, Jeannine Kathleen can be contacted via phone (701) 252-3850.

Contact Information

Primary practice address
701 3Rd St Nw Jamestown ND 58401-2963
Fax: (701) 952-5154
Website:

Health care specialties

Profile Details

NPI number 1508990193
LBN Legal business name Colburn, Jeannine Kathleen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2007
Last updated Jul 9th, 2007 - about 17 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 1508990193 NPPES
North Dakota MEDICAID 59899
North Dakota Other 23196

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