Ligon, Jessica
Ligon, Jessica is an sole proprietor health care provider with primary practice located at 1375 Webb Gin House Rd , Lawrenceville GA 30045-5440. 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. Ligon, Jessica can be contacted via phone (770) 978-1725.Contact Information
Primary practice address
1375 Webb Gin House Rd
Lawrenceville GA 30045-5440
Phone: (770) 978-1725
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT004183 | Georgia |
Profile Details
| NPI number | 1932301199 |
|---|---|
| LBN Legal business name | Ligon, Jessica |
| Credentials | OTR L |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 1st, 2007 |
| Last updated | Oct 12th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932301199 | NPPES |
| Georgia | MEDICAID | 247579643A |
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