Medeiros, Jennifer

Medeiros, Jennifer is an individual health care provider with primary practice located at 135 Gold Star Blvd , Worcester MA 01606. 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. Medeiros, Jennifer can be contacted via phone (508) 856-9510.

Contact Information

Primary practice address
135 Gold Star Blvd Worcester MA 01606
Phone: (508) 856-9510
Fax: (508) 853-1907
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 16230 Massachusetts

Profile Details

NPI number 1952380297
LBN Legal business name Medeiros, Jennifer
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2006
Last updated Jul 30th, 2008 - about 16 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 1952380297 NPPES
Other 04 2472266 THREE RIVERS
Other 67906 THREE RIVERS
Other 042472266 THREE RIVERS
Other Y68323 THREE RIVERS
Other 04 2472266 THREE RIVERS
Other Y68323 THREE RIVERS
Other Y69329 THREE RIVERS
Other 2225131 THREE RIVERS
Other 785960 THREE RIVERS
Other Y68323 THREE RIVERS
Other 7353622 THREE RIVERS

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