Mcgough, Jaime Michelle

Mcgough, Jaime Michelle is an individual health care provider with primary practice located at 2757 Leechburg Rd , Lower Burrell PA 15068-3138. 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. Mcgough, Jaime Michelle can be contacted via phone (724) 337-6522.

Contact Information

Primary practice address
2757 Leechburg Rd Lower Burrell PA 15068-3138
Phone: (724) 337-6522
Fax: (724) 337-0630
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT015906 Pennsylvania

Profile Details

NPI number 1093702466
LBN Legal business name Mcgough, Jaime Michelle
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Aug 27th, 2007 - about 18 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 1093702466 NPPES
Pennsylvania MEDICAID 1013558900001

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