Perrault, Jillian Brenna

Perrault, Jillian Brenna is an sole proprietor health care provider with primary practice located at 5823 Widewaters Pkwy , East Syracuse NY 13057-3084. 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. Perrault, Jillian Brenna can be contacted via phone (607) 483-3782.

Contact Information

Primary practice address
5823 Widewaters Pkwy East Syracuse NY 13057-3084
Phone: (607) 483-3782
Fax:
Website:
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Health care specialties

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

Profile Details

NPI number 1720609894
LBN Legal business name Perrault, Jillian Brenna
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 30th, 2020
Last updated Jul 18th, 2023 - about 3 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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