Johnsrud, Jennifier R

Johnsrud, Jennifier R is an individual health care provider with primary practice located at 2400 32Nd Ave S Sports Medicine, Fargo ND 58122-0001. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Johnsrud, Jennifier R can be contacted via phone (701) 234-7911.

Contact Information

Primary practice address
2400 32Nd Ave S Sports Medicine Fargo ND 58122-0001
Phone: (701) 234-7911
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 310-06 North Dakota
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 1899 Minnesota

Profile Details

NPI number 1558448373
LBN Legal business name Johnsrud, Jennifier R
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
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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