Disney, Jennifer N

Disney, Jennifer N is an individual health care provider with primary practice located at 1263 Hospital Dr Nw Suite 250, Corydon IN 47112-2172. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Disney, Jennifer N can be contacted via phone (812) 738-8136.

Contact Information

Primary practice address
1263 Hospital Dr Nw Suite 250 Corydon IN 47112-2172
Phone: (812) 738-8136
Fax: (812) 738-3155
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 05004574 Indiana

Profile Details

NPI number 1497750558
LBN Legal business name Disney, Jennifer N
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Apr 8th, 2011 - about 14 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 1497750558 NPPES
Indiana MEDICAID 200482180
Indiana Other P00861448

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