Jimerson, Stephanie
Jimerson, Stephanie is an sole proprietor health care provider with primary practice located at 767 Mineral Springs Rd , Buffalo NY 14224-1053. She recently has only one registered license in Other Service Providers / Mechanotherapist, which is considered as her primary health care specialty. Jimerson, Stephanie can be contacted via phone (716) 806-8210.Contact Information
Primary practice address
767 Mineral Springs Rd
Buffalo NY 14224-1053
Phone: (716) 806-8210
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Mechanotherapist | 172M00000X | 031945-01 |
Profile Details
| NPI number | 1891480943 |
|---|---|
| LBN Legal business name | Jimerson, Stephanie |
| Credentials | LMT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 5th, 2023 |
| Last updated | Apr 5th, 2023 - about 2 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 | 1891480943 | NPPES |
| New York | MEDICAID | BW48793V |
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