Hartzell, Jean Boucher

Hartzell, Jean Boucher is an sole proprietor health care provider with primary practice located at 415 E Main St , Port Jefferson NY 11777-1868. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Hartzell, Jean Boucher can be contacted via phone (631) 642-1109.

Contact Information

Primary practice address
415 E Main St Port Jefferson NY 11777-1868
Phone: (631) 642-1109
Fax: (631) 642-1080
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 12811 New York

Profile Details

NPI number 1285768820
LBN Legal business name Hartzell, Jean Boucher
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 15th, 2007
Last updated Jul 8th, 2007 - about 18 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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