Jividen, Jan Marie

Jividen, Jan Marie is an sole proprietor health care provider with primary practice located at 1547 Custer Ave , Casper WY 82604-3137. 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. Jividen, Jan Marie can be contacted via phone (307) 277-1361.

Contact Information

Primary practice address
1547 Custer Ave Casper WY 82604-3137
Phone: (307) 277-1361
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OTR-555 Wyoming

Profile Details

NPI number 1598958464
LBN Legal business name Jividen, Jan Marie
Credentials OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 23rd, 2007
Last updated Aug 23rd, 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.

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