Kingma, Jackie J

Kingma, Jackie J is an individual health care provider with primary practice located at 1025 E 7Th St Hper C202, Bloomington IN 47405-7109. She recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic is her primary health care specialty. Kingma, Jackie J can be contacted via phone (812) 855-1233.

Contact Information

Primary practice address
1025 E 7Th St Hper C202 Bloomington IN 47405-7109
Phone: (812) 855-1233
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 05009744A Indiana
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 36001566A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1396718060
LBN Legal business name Kingma, Jackie J
Credentials DPT, ATC, PA-C, PT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Oct 15th, 2012 - about 14 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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