Didur, Jacqueline Sue

Didur, Jacqueline Sue is an sole proprietor health care provider with primary practice located at 6960 Market St 8, Youngstown OH 44512-4559. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Didur, Jacqueline Sue can be contacted via phone (330) 758-8060.

Contact Information

Primary practice address
6960 Market St 8 Youngstown OH 44512-4559
Phone: (330) 758-8060
Fax: (330) 758-8060
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 33.011438 Ohio

Profile Details

NPI number 1730546375
LBN Legal business name Didur, Jacqueline Sue
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 27th, 2016
Last updated Jan 27th, 2016 - about 9 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 1730546375 NPPES
Ohio Other 611416126-00 EIN

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