Fertig, Jennifer Renee

Fertig, Jennifer Renee is an individual health care provider with primary practice located at 1005 Campus Cir , Hermitage PA 16148-7901. 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. Fertig, Jennifer Renee can be contacted via phone (724) 346-1529.

Contact Information

Primary practice address
1005 Campus Cir Hermitage PA 16148-7901
Phone: (724) 346-1529
Fax: (724) 346-1498
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT010917L Pennsylvania

Profile Details

NPI number 1275534372
LBN Legal business name Fertig, Jennifer Renee
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Dec 23rd, 2014 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1275534372 NPPES
Pennsylvania Other 001632039 HIGHMARK
Pennsylvania Other 081283S6R HIGHMARK
Pennsylvania MEDICAID 1015840140001 HIGHMARK

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