Wichterman, Jennifer L

Wichterman, Jennifer L is an sole proprietor health care provider with primary practice located at 99-128 Aiea Heights Drive Suite 114, Aiea HI 96701-3968. 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. Wichterman, Jennifer L can be contacted via phone (808) 487-0487.

Contact Information

Primary practice address
99-128 Aiea Heights Drive Suite 114 Aiea HI 96701-3968
Phone: (808) 487-0487
Fax: (808) 486-8674
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 7865 Tennessee

Profile Details

NPI number 1558541391
LBN Legal business name Wichterman, Jennifer L
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2007
Last updated Jul 18th, 2015 - about 9 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 1558541391 NPPES
Tennessee MEDICAID 0446631

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