Kissel, Jody A
Kissel, Jody A is an individual health care provider with primary practice located at 7300 E Indiana St Ste. 102, Evansville IN 47715-2794. 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. Kissel, Jody A can be contacted via phone (812) 476-0409.Contact Information
Primary practice address
7300 E Indiana St Ste. 102
Evansville IN 47715-2794
Phone: (812) 476-0409
Fax: (812) 476-1016
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 31000301 | Indiana |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | R3896 | Kentucky |
Profile Details
NPI number | 1881678829 |
---|---|
LBN Legal business name | Kissel, Jody A |
Credentials | OTR/CHT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 2nd, 2005 |
Last updated | Dec 29th, 2008 - about 16 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 | 1881678829 | NPPES |
Indiana | Other | 000000178771 | BLUE CROSS BLUE SHIELD |
Indiana | MEDICAID | 200839490 | BLUE CROSS BLUE SHIELD |
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