Thyne, Jason Glen

Thyne, Jason Glen is an individual health care provider with primary practice located at 4010 6Th Ave , Kearney NE 68845-3393. 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. Thyne, Jason Glen can be contacted via phone (308) 237-7877.

Contact Information

Primary practice address
4010 6Th Ave Kearney NE 68845-3393
Phone: (308) 237-7877
Fax: (308) 237-2933
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2035 Nebraska

Profile Details

NPI number 1861480725
LBN Legal business name Thyne, Jason Glen
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Jul 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1861480725 NPPES
Nebraska MEDICAID 47076054332

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