Marshall, Jennifer Elaine

Marshall, Jennifer Elaine is an individual health care provider with primary practice located at 178 Clizbe Ave , Amsterdam NY 12010-2935. 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. Marshall, Jennifer Elaine can be contacted via phone (518) 842-1425.

Contact Information

Primary practice address
178 Clizbe Ave Amsterdam NY 12010-2935
Phone: (518) 842-1425
Fax: (518) 842-1706
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 0183431 New York

Profile Details

NPI number 1467429845
LBN Legal business name Marshall, Jennifer Elaine
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2006
Last updated Mar 23rd, 2009 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467429845 NPPES
Other 141637577 WORKERS COMP
Other 000490155008 WORKERS COMP
Other QQ3542 WORKERS COMP
MEDICAID 01940665 WORKERS COMP
Other 10027745 WORKERS COMP
Other 141637577 WORKERS COMP
Other 141637577 WORKERS COMP
Other 6008747 WORKERS COMP

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