Stroup, Jeremy Kent

Stroup, Jeremy Kent is an individual health care provider with primary practice located at 3200 Fairway Dr , Altoona PA 16602-4458. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Stroup, Jeremy Kent can be contacted via phone (814) 941-7708.

Contact Information

Primary practice address
3200 Fairway Dr Altoona PA 16602-4458
Phone: (814) 941-7708
Fax: (814) 941-7715
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT011814L Pennsylvania

Profile Details

NPI number 1942295498
LBN Legal business name Stroup, Jeremy Kent
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated Oct 10th, 2013 - about 11 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 1942295498 NPPES
Pennsylvania Other 650021205 RRMEDICARE
Pennsylvania Other 920436 RRMEDICARE

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