Alizadeh, Jennifer B

Alizadeh, Jennifer B is an sole proprietor health care provider with primary practice located at 597 Kingswood Ave , Fond Du Lac WI 54935-6399. 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. Alizadeh, Jennifer B can be contacted via phone (920) 238-3032.

Contact Information

Primary practice address
597 Kingswood Ave Fond Du Lac WI 54935-6399
Phone: (920) 238-3032
Fax: (920) 238-3048
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 12075-24 Wisconsin

Profile Details

NPI number 1942562152
LBN Legal business name Alizadeh, Jennifer B
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2012
Last updated Oct 12th, 2016 - about 10 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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