Fetrow, Jill T
Fetrow, Jill T is an individual health care provider with primary practice located at 315 W 5Th St , Storm Lake IA 50588-1743. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Fetrow, Jill T can be contacted via phone (712) 732-7725.Contact Information
Primary practice address
315 W 5Th St
Storm Lake IA 50588-1743
Phone: (712) 732-7725
Fax: (712) 732-5153
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 1584 | Iowa |
Profile Details
| NPI number | 1811035678 |
|---|---|
| LBN Legal business name | Fetrow, Jill T |
| Credentials | OCCUPATIONAL |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1811035678 | NPPES |
| Iowa | Other | 37037 | WELLMARK OF IOWA |
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