Jack, Bethany Dawn
Jack, Bethany Dawn is an sole proprietor health care provider with primary practice located at 382 Bon Haven Rd , Maysville KY 41056-9702. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Jack, Bethany Dawn can be contacted via phone (606) 584-0518.Contact Information
Primary practice address
382 Bon Haven Rd
Maysville KY 41056-9702
Phone: (606) 584-0518
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X | 000083087 | Kentucky |
Profile Details
| NPI number | 1336413764 |
|---|---|
| LBN Legal business name | Jack, Bethany Dawn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 2nd, 2012 |
| Last updated | Mar 2nd, 2012 - about 12 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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