Jones, Georgina
Jones, Georgina is an individual health care provider with primary practice located at 121 Boatyard Dr Ste A, Fort Bragg CA 95437-5751. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Jones, Georgina can be contacted via phone (707) 964-1208.Contact Information
Primary practice address
121 Boatyard Dr Ste A
Fort Bragg CA 95437-5751
Phone: (707) 964-1208
Fax: (707) 964-2269
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT1679 | California |
Profile Details
| NPI number | 1598769325 |
|---|---|
| LBN Legal business name | Jones, Georgina |
| Credentials | Registered Physical Therapist (RPT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2005 |
| Last updated | Oct 22nd, 2007 - about 17 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 | 1598769325 | NPPES |
| California | MEDICAID | PT0016790 |
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