Wiatrowski, Jessica A
Wiatrowski, Jessica A is an individual health care provider with primary practice located at 692 Millersport Highway Millersport & Physical Therapy, Amherst NY 14226. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Wiatrowski, Jessica A can be contacted via phone (716) 839-9529.Contact Information
Primary practice address
692 Millersport Highway Millersport & Physical Therapy
Amherst NY 14226
Phone: (716) 839-9529
Fax: (716) 839-2722
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 011595 | New York |
Profile Details
| NPI number | 1366547440 |
|---|---|
| LBN Legal business name | Wiatrowski, Jessica A |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2006 |
| Last updated | Dec 17th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366547440 | NPPES |
| New York | Other | 00011283007 | UNIVERA LEGACY# |
| New York | Other | 000626050003 | UNIVERA LEGACY# |
| New York | MEDICAID | 08494418 | UNIVERA LEGACY# |
| New York | Other | 159888FT | UNIVERA LEGACY# |
| New York | Other | 9390555 | UNIVERA LEGACY# |
| New York | Other | 000000113334 | UNIVERA LEGACY# |
| New York | Other | 050301000137 | UNIVERA LEGACY# |
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