Minnick, Jeremy Arthur

Minnick, Jeremy Arthur is an sole proprietor health care provider with primary practice located at 2143 Nw 17Th Ave , Cape Coral FL 33993-3101. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Minnick, Jeremy Arthur can be contacted via phone (239) 671-9900.

Contact Information

Primary practice address
2143 Nw 17Th Ave Cape Coral FL 33993-3101
Phone: (239) 671-9900
Fax: (239) 772-0146
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA 25921 Florida

Profile Details

NPI number 1659471522
LBN Legal business name Minnick, Jeremy Arthur
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 22nd, 2006
Last updated Jul 19th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1659471522 NPPES
Florida Other C3738 BCBS OF FL.

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