Villafuerte, Jenna E

Villafuerte, Jenna E is an individual health care provider with primary practice located at 2662 Mcfarland Rd , Rockford IL 61107-6806. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Villafuerte, Jenna E can be contacted via phone (815) 227-1700.

Contact Information

Primary practice address
2662 Mcfarland Rd Rockford IL 61107-6806
Phone: (815) 227-1700
Fax: (815) 227-1744
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 160-002768 Illinois

Profile Details

NPI number 1396756193
LBN Legal business name Villafuerte, Jenna E
Credentials LPTA
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Oct 17th, 2008 - about 17 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 1396756193 NPPES
Illinois Other 160-002768 PROFESSIONAL LICENSE

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