Lundberg, Jennifer Joan
Lundberg, Jennifer Joan is an individual health care provider with primary practice located at 4875 Mills Civic Pkwy , West Des Moines IA 50265-5268. 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. Lundberg, Jennifer Joan can be contacted via phone (515) 440-6700.Contact Information
Primary practice address
4875 Mills Civic Pkwy
West Des Moines IA 50265-5268
Phone: (515) 440-6700
Fax: (515) 440-6715
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 03717 | Iowa |
Profile Details
NPI number | 1922088707 |
---|---|
LBN Legal business name | Lundberg, Jennifer Joan |
Credentials | Physical Therapist (PT) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 18th, 2006 |
Last updated | Jul 8th, 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 | 1922088707 | NPPES |
Iowa | Other | 38977 | BLUE CROSS |
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