Hopper, Jerry Lynn

Hopper, Jerry Lynn is an individual health care provider with primary practice located at 1815 E Main St , Barstow CA 92311-3234. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Hopper, Jerry Lynn can be contacted via phone (760) 256-2800.

Contact Information

Primary practice address
1815 E Main St Barstow CA 92311-3234
Phone: (760) 256-2800
Fax: (760) 256-2809
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT13643 California

Profile Details

NPI number 1629014063
LBN Legal business name Hopper, Jerry Lynn
Credentials Registered Physical Therapist (RPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Apr 6th, 2011 - about 13 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 1629014063 NPPES
California Other PT13643 PHYSICAL THERAPY LICENSE

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