Bower, Jessica E
Bower, Jessica E is an individual health care provider with primary practice located at 3942 Davis Stuart Rd Ste 3 , Ronceverte WV 24970-0269. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Bower, Jessica E can be contacted via phone (304) 647-3987.Contact Information
Primary practice address
3942 Davis Stuart Rd Ste 3
Ronceverte WV 24970-0269
Phone: (304) 647-3987
Fax: (304) 647-3990
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 2537 | West Virginia |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X |
Profile Details
| NPI number | 1104902113 |
|---|---|
| LBN Legal business name | Bower, Jessica E |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2006 |
| Last updated | Jul 26th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104902113 | NPPES |
| West Virginia | MEDICAID | 3810004657 | |
| West Virginia | Other | 550755833 | |
| West Virginia | Other | 550755833 |
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