Willson, Jennifer

Willson, Jennifer is an sole proprietor health care provider with primary practice located at 383 Corbin Center Drive , Corbin KY 40701. 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. Willson, Jennifer can be contacted via phone (606) 526-2919.

Contact Information

Primary practice address
383 Corbin Center Drive Corbin KY 40701
Fax:
Website:

Health care specialties

Profile Details

NPI number 1497885958
LBN Legal business name Willson, Jennifer
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 6th, 2007
Last updated Jul 8th, 2007 - about 17 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 1497885958 NPPES
Kentucky MEDICAID 87000949

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