Hathaway, Jennifer

Hathaway, Jennifer is an sole proprietor health care provider with primary practice located at 417 Willis Ave , Bridgeport WV 26330-1551. She recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as her primary health care specialty. Hathaway, Jennifer can be contacted via phone (304) 677-8714.

Contact Information

Primary practice address
417 Willis Ave Bridgeport WV 26330-1551
Phone: (304) 677-8714
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1295573848
LBN Legal business name Hathaway, Jennifer
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2024
Last updated Jul 17th, 2024 - about last year

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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