Furness, Jenifer Lee

Furness, Jenifer Lee is an sole proprietor health care provider with primary practice located at 2123 Lillie Ave , Davenport IA 52804-2040. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter is her primary health care specialty. Furness, Jenifer Lee can be contacted via phone (563) 343-0852.

Contact Information

Primary practice address
2123 Lillie Ave Davenport IA 52804-2040
Phone: (563) 343-0852
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter 225000000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 056.004970 Illinois
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 01130 Iowa

Profile Details

NPI number 1972622140
LBN Legal business name Furness, Jenifer Lee
Credentials OTR, COF
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2007
Last updated May 3rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972622140 NPPES
Illinois MEDICAID 264560645
Illinois MEDICAID 7100120570
Illinois MEDICAID 3053065

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