Henry, Jaclyn A
Henry, Jaclyn A is an sole proprietor health care provider with primary practice located at 440 N River St , Wilkes Barre PA 18702-2631. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Henry, Jaclyn A can be contacted via phone (570) 825-5611.Contact Information
Primary practice address
440 N River St
Wilkes Barre PA 18702-2631
Phone: (570) 825-5611
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT024490 | Pennsylvania |
Profile Details
| NPI number | 1942678719 |
|---|---|
| LBN Legal business name | Henry, Jaclyn A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 9th, 2015 |
| Last updated | Sep 9th, 2015 - about 11 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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