Wisniewski, Jennifer Anna

Wisniewski, Jennifer Anna is an individual health care provider with primary practice located at 300 Lackawanna Ave , Scranton PA 18503-2001. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Wisniewski, Jennifer Anna can be contacted via phone (570) 961-3823.

Contact Information

Primary practice address
300 Lackawanna Ave Scranton PA 18503-2001
Phone: (570) 961-3823
Fax: (570) 207-5988
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OC005815L Pennsylvania

Profile Details

NPI number 1568525715
LBN Legal business name Wisniewski, Jennifer Anna
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2006
Last updated Sep 27th, 2023 - about last year

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 1568525715 NPPES
Pennsylvania Other 193439 MEDICARE

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