Luper-Lark, Jennifer Lynn

Luper-Lark, Jennifer Lynn is an individual health care provider with primary practice located at 1323 Bia Route 4 , Fort Thompson SD 57339. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Luper-Lark, Jennifer Lynn can be contacted via phone (605) 245-1621.

Contact Information

Primary practice address
1323 Bia Route 4 Fort Thompson SD 57339
Phone: (605) 245-1621
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 0490 South Dakota

Profile Details

NPI number 1548790348
LBN Legal business name Luper-Lark, Jennifer Lynn
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2017
Last updated Jun 14th, 2017 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1548790348 NPPES
Other 22 ATHLETIC TRAINING BOARD OF CERTIFICATION

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