Ennis, Jean Vernice
Ennis, Jean Vernice is an sole proprietor health care provider with primary practice located at 5715 E 2Nd St , Casper WY 82609-4322. 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. Ennis, Jean Vernice can be contacted via phone (307) 267-0311.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OTR-291 | Wyoming |
Profile Details
| NPI number | 1841356284 |
|---|---|
| LBN Legal business name | Ennis, Jean Vernice |
| Credentials | Registered Occupational Therapist (OTR) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 29th, 2006 |
| Last updated | Jun 1st, 2015 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841356284 | NPPES |
| Wyoming | MEDICAID | 1237454 00 |
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