Espinosa, Mitzie Tanjutco
Espinosa, Mitzie Tanjutco is an sole proprietor health care provider with primary practice located at 401 University Dr Therapy Dept., Schuylkill Haven PA 17972-2211. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Espinosa, Mitzie Tanjutco can be contacted via phone (570) 385-0331.Contact Information
Primary practice address
401 University Dr Therapy Dept.
Schuylkill Haven PA 17972-2211
Phone: (570) 385-0331
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT018362 | Pennsylvania |
Profile Details
| NPI number | 1922126325 |
|---|---|
| LBN Legal business name | Espinosa, Mitzie Tanjutco |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 26th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1922126325 | NPPES |
| Pennsylvania | Other | GEA3036016200 | BLUE CROSS PPO PROGRAM |
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