Kornegay, Jaclyn Elizabeth
Kornegay, Jaclyn Elizabeth is an individual health care provider with primary practice located at 339 Flanders Rd , East Lyme CT 06333-1700. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as her primary health care specialty. Kornegay, Jaclyn Elizabeth can be contacted via phone (860) 739-6437.Contact Information
Primary practice address
339 Flanders Rd
East Lyme CT 06333-1700
Phone: (860) 739-6437
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | 7367 | Connecticut |
Profile Details
| NPI number | 1174136758 |
|---|---|
| LBN Legal business name | Kornegay, Jaclyn Elizabeth |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2020 |
| Last updated | Aug 25th, 2020 - about 4 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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