Himot, Jennifer L

Himot, Jennifer L is an individual health care provider with primary practice located at 2500 E Prospect Rd , Fort Collins CO 80525. 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. Himot, Jennifer L can be contacted via phone (970) 493-0112.

Contact Information

Primary practice address
2500 E Prospect Rd Fort Collins CO 80525
Phone: (970) 493-0112
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PTL.0007316 Colorado

Profile Details

NPI number 1558344861
LBN Legal business name Himot, Jennifer L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Aug 16th, 2018 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1558344861 NPPES
Wyoming MEDICAID 120317700
Wyoming Other P00685548
Wyoming MEDICAID 47154551

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