Ptacek, Jennifer Lynn

Ptacek, Jennifer Lynn is an individual health care provider with primary practice located at 1454 30Th St Suite 103, West Des Moines IA 50266-1305. 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. Ptacek, Jennifer Lynn can be contacted via phone (515) 223-6620.

Contact Information

Primary practice address
1454 30Th St Suite 103 West Des Moines IA 50266-1305
Phone: (515) 223-6620
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 01145 Iowa

Profile Details

NPI number 1639304397
LBN Legal business name Ptacek, Jennifer Lynn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2009
Last updated May 26th, 2009 - about 16 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 1639304397 NPPES
Iowa MEDICAID 0665190

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