Eastman, Jessica B

Eastman, Jessica B is an sole proprietor health care provider with primary practice located at 310 E Broadway Ave Ste 8 , Jackson WY 83001-8636. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Eastman, Jessica B can be contacted via phone (307) 413-8580.

Contact Information

Primary practice address
310 E Broadway Ave Ste 8 Jackson WY 83001-8636
Phone: (307) 413-8580
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 642 Wyoming

Profile Details

NPI number 1801061791
LBN Legal business name Eastman, Jessica B
Credentials MS, OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 23rd, 2008
Last updated Mar 13th, 2019 - about 7 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 1801061791 NPPES
Other 315436 BLUE CROSS/BLUE SHIELD

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