Jeffrey, Justine L

Jeffrey, Justine L is an sole proprietor health care provider with primary practice located at 6 Prospect St Suite 101, Brattleboro VT 05301-6469. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Jeffrey, Justine L can be contacted via phone (802) 251-0155.

Contact Information

Primary practice address
6 Prospect St Suite 101 Brattleboro VT 05301-6469
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1639200637
LBN Legal business name Jeffrey, Justine L
Credentials CMTPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2007
Last updated Jul 8th, 2007 - about 18 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 1639200637 NPPES
Other 989906 CMTPT

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