Pridgen, Jennifer Leigh

Pridgen, Jennifer Leigh is an sole proprietor health care provider with primary practice located at 200 Trade St , Tarboro NC 27886-5055. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Pridgen, Jennifer Leigh can be contacted via phone (252) 823-8100.

Contact Information

Primary practice address
200 Trade St Tarboro NC 27886-5055
Phone: (252) 823-8100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X A3473 North Carolina

Profile Details

NPI number 1669647905
LBN Legal business name Pridgen, Jennifer Leigh
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 28th, 2008
Last updated Apr 28th, 2008 - about 17 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 1669647905 NPPES
North Carolina Other 2251500000X PT

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