Jenny, Heather Sue
Jenny, Heather Sue is an sole proprietor health care provider with primary practice located at 3344 Piazza Ln , Edwardsville IL 62025-3225. She recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Jenny, Heather Sue can be contacted via phone (402) 680-9272.Contact Information
Primary practice address
3344 Piazza Ln
Edwardsville IL 62025-3225
Phone: (402) 680-9272
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics | 2251G0304X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | 941 | Nebraska |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 941 | Nebraska |
Profile Details
| NPI number | 1750699054 |
|---|---|
| LBN Legal business name | Jenny, Heather Sue |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 21st, 2010 |
| Last updated | Sep 11th, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750699054 | NPPES |
| Nebraska | MEDICAID | 10025508900 | |
| Nebraska | MEDICAID | 10025670600 |
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