Sewall, Jennifer Lynn

Sewall, Jennifer Lynn is an individual health care provider with primary practice located at 620 Red Table Road Suite A, Gypsum CO 81637. 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. Sewall, Jennifer Lynn can be contacted via phone (970) 306-8609.

Contact Information

Primary practice address
620 Red Table Road Suite A Gypsum CO 81637
Fax:
Website:

Profile Details

NPI number 1629111489
LBN Legal business name Sewall, Jennifer Lynn
Credentials MPT, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2007
Last updated Oct 19th, 2012 - about 9 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 1629111489 NPPES
Wisconsin MEDICAID 36134600

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