Dickerson, Jennifer Eaves

Dickerson, Jennifer Eaves is an individual health care provider with primary practice located at 150 Willow Creek Dr Ste 107 , Weatherford TX 76085-3652. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Dickerson, Jennifer Eaves can be contacted via phone (817) 550-5058.

Contact Information

Primary practice address
150 Willow Creek Dr Ste 107 Weatherford TX 76085-3652
Phone: (817) 550-5058
Fax: (817) 550-8177
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 109939 Texas

Profile Details

NPI number 1902162969
LBN Legal business name Dickerson, Jennifer Eaves
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2012
Last updated Apr 4th, 2012 - about 12 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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