Collum, Jessica Lynn
Collum, Jessica Lynn is an sole proprietor health care provider with primary practice located at 57 Claremont Ter , Wayne NJ 07470-5125. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Collum, Jessica Lynn can be contacted via phone (973) 800-3936.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X |
Profile Details
| NPI number | 1205476694 |
|---|---|
| LBN Legal business name | Collum, Jessica Lynn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 14th, 2020 |
| Last updated | Jan 14th, 2020 - about 4 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 | 1205476694 | NPPES |
| New Jersey | Other | NJX3HZN15185170 | HORIZON BLUE CROSS BLUE SHIELD |
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