Rolfe, Jack Wynn

Rolfe, Jack Wynn is an individual health care provider with primary practice located at 324 North 1680 East , St George UT 84790. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Rolfe, Jack Wynn can be contacted via phone (435) 674-1269.

Contact Information

Primary practice address
324 North 1680 East St George UT 84790
Phone: (435) 674-1269
Fax: (435) 674-1269
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1140732401 Utah

Profile Details

NPI number 1558463323
LBN Legal business name Rolfe, Jack Wynn
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2006
Last updated Jul 8th, 2007 - about 19 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 1558463323 NPPES
Utah MEDICAID D4211

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