Dyszkiewicz, Jennifer Ann
Dyszkiewicz, Jennifer Ann is an individual health care provider with primary practice located at 111 W Jefferson Blvd Suite 100, South Bend IN 46601-1994. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Other Service Providers / Specialist. Other Service Providers / Specialist is her primary health care specialty. Dyszkiewicz, Jennifer Ann can be contacted via phone (574) 289-4764.Contact Information
Primary practice address
111 W Jefferson Blvd Suite 100
South Bend IN 46601-1994
Phone: (574) 289-4764
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | ||
Other Service Providers / Specialist | 174400000X | 36000645A | Indiana |
Profile Details
NPI number | 1952455537 |
---|---|
LBN Legal business name | Dyszkiewicz, Jennifer Ann |
Credentials | MS, ATC, LAT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 22nd, 2007 |
Last updated | Jul 27th, 2023 - about last year |
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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