Mcconnell, Jean A

Mcconnell, Jean A is an sole proprietor health care provider with primary practice located at 755 Boardman Canfield Rd Bldg F, Unit 2, Boardman OH 44512. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Other Service Providers / Specialist. Other Service Providers / Specialist is her primary health care specialty. Mcconnell, Jean A can be contacted via phone (330) 480-9362.

Contact Information

Primary practice address
755 Boardman Canfield Rd Bldg F, Unit 2 Boardman OH 44512
Phone: (330) 480-9362
Fax: (330) 480-9407
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT10021 Ohio
Other Service Providers / Specialist 174400000X PT10021 Ohio

Profile Details

NPI number 1215903984
LBN Legal business name Mcconnell, Jean A
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 23rd, 2006
Last updated Jul 2nd, 2024 - about last year

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 1215903984 NPPES
Ohio MEDICAID 2384647

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