Heroldt, Jason Thomas

Heroldt, Jason Thomas is an sole proprietor health care provider with primary practice located at 1950 45Th St Ste 200 , Munster IN 46321-3958. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Heroldt, Jason Thomas can be contacted via phone (219) 924-6544.

Contact Information

Primary practice address
1950 45Th St Ste 200 Munster IN 46321-3958
Phone: (219) 924-6544
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 06005949A Indiana

Profile Details

NPI number 1942855465
LBN Legal business name Heroldt, Jason Thomas
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 2nd, 2019
Last updated Aug 2nd, 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.

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