Wambold, Jason M

Wambold, Jason M is an individual health care provider with primary practice located at 807 Ridge Rd Ste B Webster Woods Plaza, Webster NY 14580-2497. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Wambold, Jason M can be contacted via phone (585) 347-0202.

Contact Information

Primary practice address
807 Ridge Rd Ste B Webster Woods Plaza Webster NY 14580-2497
Phone: (585) 347-0202
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 028339 New York
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 013146 Pennsylvania

Profile Details

NPI number 1417976689
LBN Legal business name Wambold, Jason M
Credentials MSPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Sep 24th, 2013 - about 12 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 1417976689 NPPES
New York Other 028339 LICENSE

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