Buckwalter, Jenna

Buckwalter, Jenna is an sole proprietor health care provider with primary practice located at 430 5Th St N , Breckenridge MN 56520-1426. She recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Skilled Nursing Facility, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Buckwalter, Jenna can be contacted via phone (218) 641-7725.

Contact Information

Primary practice address
430 5Th St N Breckenridge MN 56520-1426
Phone: (218) 641-7725
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 9959 Minnesota
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 9959 Minnesota
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1732 North Dakota

Profile Details

NPI number 1962950667
LBN Legal business name Buckwalter, Jenna
Credentials DPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 12th, 2016
Last updated Mar 16th, 2017 - about 9 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 1962950667 NPPES
North Dakota MEDICAID 1469913

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