Struble, Jill

Struble, Jill is an individual health care provider with primary practice located at 600 Legacy Plz W , La Porte IN 46350-5268. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Struble, Jill can be contacted via phone (219) 362-8761.

Contact Information

Primary practice address
600 Legacy Plz W La Porte IN 46350-5268
Phone: (219) 362-8761
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 36002178A Indiana

Profile Details

NPI number 1417364050
LBN Legal business name Struble, Jill
Credentials MS, LAT, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2014
Last updated Jul 15th, 2014 - 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 1417364050 NPPES
Other 060802297 BOARD OF CERTIFICATION
Other 36002178A BOARD OF CERTIFICATION

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