Mcdonough, Jamie Lynn

Mcdonough, Jamie Lynn is an individual health care provider with primary practice located at 2101 Nagle Rd Upmc Centers For Rehab Services, Erie PA 16510-2189. 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. Mcdonough, Jamie Lynn can be contacted via phone (814) 877-7078.

Contact Information

Primary practice address
2101 Nagle Rd Upmc Centers For Rehab Services Erie PA 16510-2189
Phone: (814) 877-7078
Fax: (814) 899-5484
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT013867L Pennsylvania

Profile Details

NPI number 1538167341
LBN Legal business name Mcdonough, Jamie Lynn
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Dec 13th, 2012 - about 12 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 1538167341 NPPES
Pennsylvania MEDICAID 1011581100001
Pennsylvania Other 00027021401
Pennsylvania Other 3762785
Pennsylvania Other P00170352
Pennsylvania Other 1672791

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