Divers, Jake E

Divers, Jake E is an individual health care provider with primary practice located at 1110 Vinyard Rd , Vinton VA 24179-3632. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Divers, Jake E can be contacted via phone (540) 343-0466.

Contact Information

Primary practice address
1110 Vinyard Rd Vinton VA 24179-3632
Phone: (540) 343-0466
Fax: (540) 345-2261
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2305210198 Virginia

Profile Details

NPI number 1871942961
LBN Legal business name Divers, Jake E
Credentials PT, DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2016
Last updated Jun 9th, 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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