Mccrady, Jennifer Leitch
Mccrady, Jennifer Leitch is an individual health care provider with primary practice located at 600 E Main St Ste A Suite A, Radford VA 24141-1826. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Mccrady, Jennifer Leitch can be contacted via phone (540) 633-0413.Contact Information
Primary practice address
600 E Main St Ste A Suite A
Radford VA 24141-1826
Phone: (540) 633-0413
Fax: (540) 633-0416
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 2305204219 | Virginia |
Profile Details
| NPI number | 1295828242 |
|---|---|
| LBN Legal business name | Mccrady, Jennifer Leitch |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Feb 27th, 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 | 1295828242 | NPPES |
| Virginia | Other | 2618376 GROUP | MAMSI |
| Virginia | Other | 192943 | MAMSI |
| Virginia | Other | 263354 | MAMSI |
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