Moore, Jennifer Lynn

Moore, Jennifer Lynn is an individual health care provider with primary practice located at 15000 Minnetonka Blvd , Minnetonka MN 55345-1506. 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. Moore, Jennifer Lynn can be contacted via phone (952) 935-4037.

Contact Information

Primary practice address
15000 Minnetonka Blvd Minnetonka MN 55345-1506
Phone: (952) 935-4037
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2868 Minnesota

Profile Details

NPI number 1417002866
LBN Legal business name Moore, Jennifer Lynn
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2007
Last updated Jul 8th, 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 1417002866 NPPES
Minnesota Other 25557MO BLUE CROSS INDIVIDUAL ID
Minnesota Other 1024610 BLUE CROSS INDIVIDUAL ID

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