Masterson, Jennifer Lynn

Masterson, Jennifer Lynn is an sole proprietor health care provider with primary practice located at 11953 Porsch Pl , Marion IL 62959-9415. 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. Masterson, Jennifer Lynn can be contacted via phone (618) 977-3732.

Contact Information

Primary practice address
11953 Porsch Pl Marion IL 62959-9415
Phone: (618) 977-3732
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070013687 Illinois

Profile Details

NPI number 1124110051
LBN Legal business name Masterson, Jennifer Lynn
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 28th, 2006
Last updated May 6th, 2020 - about 5 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 1124110051 NPPES
Illinois Other 070013687 STATE LICENSE NUMBER

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