Deangelis, Jenne

Deangelis, Jenne is an sole proprietor health care provider with primary practice located at 2195 Harrodsburg Rd , Lexington KY 40504-3504. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, which is considered as her primary health care specialty. Deangelis, Jenne can be contacted via phone (859) 300-1004.

Contact Information

Primary practice address
2195 Harrodsburg Rd Lexington KY 40504-3504
Phone: (859) 300-1004
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X AT1157 Kentucky

Profile Details

NPI number 1730667817
LBN Legal business name Deangelis, Jenne
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2018
Last updated Aug 1st, 2018 - about 7 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 1730667817 NPPES
Kentucky Other 912169756 ATHLETIC TRAINING

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