Painter, Emily Ivy

Painter, Emily Ivy is an individual health care provider with primary practice located at 1536 N Jefferson St , Jacksonville FL 32209-6525. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist is her primary health care specialty. Painter, Emily Ivy can be contacted via phone (904) 881-4721.

Contact Information

Primary practice address
1536 N Jefferson St Jacksonville FL 32209-6525
Phone: (904) 881-4721
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X

Profile Details

NPI number 1972235448
LBN Legal business name Painter, Emily Ivy
Credentials CPO
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2022
Last updated Jun 24th, 2022 - about 2 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 1972235448 NPPES
Other CPO03466 AMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS AND PROSTHETICS

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