Concannon, Jennifer

Concannon, Jennifer is an sole proprietor health care provider with primary practice located at 65 Wilson Ave , Weymouth MA 02188-3623. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is her primary health care specialty. Concannon, Jennifer can be contacted via phone (978) 273-3620.

Contact Information

Primary practice address
65 Wilson Ave Weymouth MA 02188-3623
Phone: (978) 273-3620
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207PS0010X 2448 Massachusetts
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 2448 Massachusetts

Profile Details

NPI number 1396253753
LBN Legal business name Concannon, Jennifer
Credentials DAT, LAT, ATC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2018
Last updated Dec 27th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396253753 NPPES
Massachusetts Other 2448 BOARD OF LICENSURE

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