Bollback, Jessie

Bollback, Jessie is an individual health care provider with primary practice located at 3301 College Ave , Davie FL 33314-7796. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Bollback, Jessie can be contacted via phone (954) 336-9858.

Contact Information

Primary practice address
3301 College Ave Davie FL 33314-7796
Phone: (954) 336-9858
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1558746305
LBN Legal business name Bollback, Jessie
Credentials ATC, LAT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2015
Last updated Feb 11th, 2021 - about 5 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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