Wellenstein, Joshua Earl

Wellenstein, Joshua Earl is an individual health care provider with primary practice located at 21 Gregory Dr C/O Poulin Performance, Inc., South Burlington VT 05403-6080. 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 / Orthopedic is his primary health care specialty. Wellenstein, Joshua Earl can be contacted via phone (802) 658-0949.

Contact Information

Primary practice address
21 Gregory Dr C/O Poulin Performance, Inc. South Burlington VT 05403-6080
Phone: (802) 658-0949
Fax: (802) 658-1436
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 0226101 New York
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 0400061031 Vermont

Profile Details

NPI number 1194792440
LBN Legal business name Wellenstein, Joshua Earl
Credentials PT, DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Mar 19th, 2010 - about 14 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 1194792440 NPPES
Other 10064961 CDPHP

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