Durst, Jan William

Durst, Jan William is an individual health care provider with primary practice located at 1075 N Main St , Madisonville KY 42431-1288. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Durst, Jan William can be contacted via phone (812) 476-0409.

Contact Information

Primary practice address
1075 N Main St Madisonville KY 42431-1288
Fax: (812) 476-1016
Website:

Health care specialties

Profile Details

NPI number 1477743078
LBN Legal business name Durst, Jan William
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2007
Last updated Mar 26th, 2010 - about 15 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 1477743078 NPPES
Kentucky Other 002363 KENTUCKY STATE LICENSE

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