Erbis, Jessica Lynn
Erbis, Jessica Lynn is an individual health care provider with primary practice located at 132 Elm St , Cheshire CT 06410-2808. 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. Erbis, Jessica Lynn can be contacted via phone (203) 250-9663.Contact Information
Primary practice address
132 Elm St
Cheshire CT 06410-2808
Phone: (203) 250-9663
Fax: (203) 699-9641
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 002758 | Connecticut |
Profile Details
| NPI number | 1376750554 |
|---|---|
| LBN Legal business name | Erbis, Jessica Lynn |
| Credentials | OTRL |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2007 |
| Last updated | Dec 22nd, 2011 - about 14 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 | 1376750554 | NPPES |
| Connecticut | Other | 130002758CT01 | BCBS |
| Connecticut | Other | 0100901 | BCBS |
| Connecticut | Other | 754954 | BCBS |
| Connecticut | Other | 64-04292 | BCBS |
| Connecticut | Other | 9044356 | BCBS |
| Connecticut | Other | 3672389002 | BCBS |
| Connecticut | Other | 0012701 | BCBS |
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