Miedema, Jennifer M

Miedema, Jennifer M is an individual health care provider with primary practice located at 68 Charles Reiss Rd , Port Jervis NY 12771-3369. 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. Miedema, Jennifer M can be contacted via phone (845) 649-6216.

Contact Information

Primary practice address
68 Charles Reiss Rd Port Jervis NY 12771-3369
Phone: (845) 649-6216
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 006494-1 New York

Profile Details

NPI number 1215182365
LBN Legal business name Miedema, Jennifer M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2008
Last updated Nov 17th, 2008 - about 18 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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