King, Jennifer J
King, Jennifer J is an individual health care provider with primary practice located at 14 Ellis Potter Ct , Madison WI 53711-2478. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. King, Jennifer J can be contacted via phone (608) 234-5990.Contact Information
Primary practice address
14 Ellis Potter Ct
Madison WI 53711-2478
Phone: (608) 234-5990
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 4060026 | Wisconsin |
Profile Details
NPI number | 1376592634 |
---|---|
LBN Legal business name | King, Jennifer J |
Credentials | Registered Occupational Therapist (OTR) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 6th, 2006 |
Last updated | Jul 2nd, 2012 - about 13 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 | 1376592634 | NPPES |
Wisconsin | MEDICAID | 40861300 |
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