Ehrenberg, Jacquelyn

Ehrenberg, Jacquelyn is an sole proprietor health care provider with primary practice located at 472 Sylvania Dr , Mc Murray PA 15317-5333. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Ehrenberg, Jacquelyn can be contacted via phone (724) 650-5048.

Contact Information

Primary practice address
472 Sylvania Dr Mc Murray PA 15317-5333
Phone: (724) 650-5048
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X RTO000134 Pennsylvania

Profile Details

NPI number 1316398993
LBN Legal business name Ehrenberg, Jacquelyn
Credentials MS, LAT, ATC, CES
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 25th, 2016
Last updated Jun 25th, 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 1316398993 NPPES
Pennsylvania Other 2000006014 NATIONAL ATHLETIC TRAINERS' BOARD OF CERTIFICATION, INC

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