Denniston, Beth Ann

Denniston, Beth Ann is an sole proprietor health care provider with primary practice located at 341 S Lincoln St Apt 4 , Bloomington IN 47401-2705. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Denniston, Beth Ann can be contacted via phone (812) 369-9910.

Contact Information

Primary practice address
341 S Lincoln St Apt 4 Bloomington IN 47401-2705
Phone: (812) 369-9910
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MT21405186 Indiana

Profile Details

NPI number 1962065813
LBN Legal business name Denniston, Beth Ann
Credentials Medical Technologist (MT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 16th, 2019
Last updated Apr 16th, 2019 - about 7 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 1962065813 NPPES
Indiana Other MT21405186 MASSAGE THERAPY

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