Ezelle, Jennifer

Ezelle, Jennifer is an individual health care provider with primary practice located at 16405 Northcross Dr Ste G2 , Huntersville NC 28078-5005. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Ezelle, Jennifer can be contacted via phone (704) 439-3406.

Contact Information

Primary practice address
16405 Northcross Dr Ste G2 Huntersville NC 28078-5005
Phone: (704) 439-3406
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 1974 South Carolina

Profile Details

NPI number 1740517721
LBN Legal business name Ezelle, Jennifer
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2009
Last updated Nov 11th, 2009 - about 16 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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