Fenney, Jordan Lyn

Fenney, Jordan Lyn is an individual health care provider with primary practice located at 4907 Hillside Dr , West Bend WI 53095-9255. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Fenney, Jordan Lyn can be contacted via phone (262) 224-5151.

Contact Information

Primary practice address
4907 Hillside Dr West Bend WI 53095-9255
Phone: (262) 224-5151
Fax: (262) 224-5151
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1912410028
LBN Legal business name Fenney, Jordan Lyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2017
Last updated Nov 10th, 2017 - about 7 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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