Stormont-Smith, Jamie Sue

Stormont-Smith, Jamie Sue is an individual health care provider with primary practice located at 80 Professional Ct , Lafayette IN 47905-5152. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Stormont-Smith, Jamie Sue can be contacted via phone (765) 448-1758.

Contact Information

Primary practice address
80 Professional Ct Lafayette IN 47905-5152
Phone: (765) 448-1758
Fax: (765) 448-3898
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 05002643A Indiana

Profile Details

NPI number 1740478015
LBN Legal business name Stormont-Smith, Jamie Sue
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2007
Last updated Nov 22nd, 2010 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740478015 NPPES
Indiana MEDICAID 200178740

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