Probstfield, Jennifer Marie
Probstfield, Jennifer Marie is an sole proprietor health care provider with primary practice located at 2900 S National Ave , Springfield MO 65804-3634. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is her primary health care specialty. Probstfield, Jennifer Marie can be contacted via phone (417) 885-3888.Contact Information
Primary practice address
2900 S National Ave
Springfield MO 65804-3634
Phone: (417) 885-3888
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 2005024707 | Missouri |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | 2004031355 | Missouri |
Profile Details
NPI number | 1932192895 |
---|---|
LBN Legal business name | Probstfield, Jennifer Marie |
Credentials | Athletic Trainer, Certified (ATC) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 25th, 2005 |
Last updated | Oct 24th, 2011 - about 14 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 | 1932192895 | NPPES |
Missouri | Other | MA3058 | PTAN |
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