Wentworth, Jason

Wentworth, Jason is an individual health care provider with primary practice located at 40 Allen St , Brockport NY 14420. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Wentworth, Jason can be contacted via phone (585) 637-5303.

Contact Information

Primary practice address
40 Allen St Brockport NY 14420
Phone: (585) 637-5303
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1689173932
LBN Legal business name Wentworth, Jason
Credentials ATC, CSCS
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2018
Last updated Feb 1st, 2018 - about 6 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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