Winter, Jill R

Winter, Jill R is an sole proprietor health care provider with primary practice located at 3009 Mason Ct , Lake Wylie SC 29710-8106. 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. Winter, Jill R can be contacted via phone (803) 631-5485.

Contact Information

Primary practice address
3009 Mason Ct Lake Wylie SC 29710-8106
Fax: (803) 631-5483
Website:

Health care specialties

Profile Details

NPI number 1982781746
LBN Legal business name Winter, Jill R
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2006
Last updated May 29th, 2009 - about 16 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 1982781746 NPPES
South Carolina MEDICAID TH1740

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