Pengitore, Kelsey Lyn
Pengitore, Kelsey Lyn is an individual health care provider with primary practice located at 111 Madison Ave Ste 110 , Morristown NJ 07960-6083. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Pengitore, Kelsey Lyn can be contacted via phone (862) 260-7174.Contact Information
Primary practice address
111 Madison Ave Ste 110
Morristown NJ 07960-6083
Phone: (862) 260-7174
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 25MT00188800 | New Jersey |
Profile Details
| NPI number | 1215535042 |
|---|---|
| LBN Legal business name | Pengitore, Kelsey Lyn |
| Credentials | ATHLETIC TRAINER |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 14th, 2020 |
| Last updated | Oct 14th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215535042 | NPPES |
| Other | 25MT00188800 | LICENSE NUMBER |
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