Jaedicke, Ellen I

Jaedicke, Ellen I is an individual health care provider with primary practice located at 137 Sandy Bottom Rd , Coventry RI 02816-5865. 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. Jaedicke, Ellen I can be contacted via phone (401) 822-3676.

Contact Information

Primary practice address
137 Sandy Bottom Rd Coventry RI 02816-5865
Phone: (401) 822-3676
Fax: (401) 826-1127
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 01498 Rhode Island

Profile Details

NPI number 1285877811
LBN Legal business name Jaedicke, Ellen I
Credentials LMT, NCTMB, AA
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2009
Last updated Apr 13th, 2009 - about 17 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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