Theroux, Jessica Marie
Theroux, Jessica Marie is an individual health care provider with primary practice located at 2105 E Enterprise Ave Suite 113, Appleton WI 54913-7862. 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. Theroux, Jessica Marie can be contacted via phone (920) 991-2561.Contact Information
Primary practice address
2105 E Enterprise Ave Suite 113
Appleton WI 54913-7862
Phone: (920) 991-2561
Fax: (920) 991-2563
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 465-039 | Wisconsin |
Profile Details
| NPI number | 1770631350 |
|---|---|
| LBN Legal business name | Theroux, Jessica Marie |
| Credentials | ATC, CSCS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 8th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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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