Hensley, Jaclyn
Hensley, Jaclyn is an sole proprietor health care provider with primary practice located at 4242 Ridge Lea Rd , Amherst NY 14226-1051. 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. Hensley, Jaclyn can be contacted via phone (716) 819-2400.Contact Information
Primary practice address
4242 Ridge Lea Rd
Amherst NY 14226-1051
Phone: (716) 819-2400
Fax: (716) 819-2419
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 027523-1 | New York |
Profile Details
| NPI number | 1932391497 |
|---|---|
| LBN Legal business name | Hensley, Jaclyn |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 17th, 2007 |
| Last updated | Apr 25th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932391497 | NPPES |
| New York | MEDICAID | 02888255 |
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