Gendeman, Jennifer L

Gendeman, Jennifer L is an sole proprietor health care provider with primary practice located at 3309 Wellingmoor Ave , Louisville KY 40218. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Low Vision, which is considered as her primary health care specialty. Gendeman, Jennifer L can be contacted via phone (630) 712-7167.

Contact Information

Primary practice address
3309 Wellingmoor Ave Louisville KY 40218
Phone: (630) 712-7167
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Low Vision 225XL0004X T02895 Kansas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Low Vision 225XL0004X 131122 Kentucky

Profile Details

NPI number 1770881708
LBN Legal business name Gendeman, Jennifer L
Credentials OTD, OTR/L, SCLV
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2011
Last updated Mar 21st, 2019 - about 5 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 1770881708 NPPES
Kentucky MEDICAID 7100225350

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