Manley, Jennifer
Manley, Jennifer is an sole proprietor health care provider with primary practice located at 825 S Taylor Ave , Saint Louis MO 63110-1567. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Manley, Jennifer can be contacted via phone (314) 977-0150.Contact Information
Primary practice address
825 S Taylor Ave
Saint Louis MO 63110-1567
Phone: (314) 977-0150
Fax: (314) 977-0023
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X |
Profile Details
| NPI number | 1861723785 |
|---|---|
| LBN Legal business name | Manley, Jennifer |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 15th, 2010 |
| Last updated | Aug 24th, 2010 - about 15 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 | 1861723785 | NPPES |
| Missouri | MEDICAID | 468375506 |
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