Stroup, Jeremy Kent
Stroup, Jeremy Kent is an individual health care provider with primary practice located at 3200 Fairway Dr , Altoona PA 16602-4458. 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. Stroup, Jeremy Kent can be contacted via phone (814) 941-7708.Contact Information
Primary practice address
3200 Fairway Dr
Altoona PA 16602-4458
Phone: (814) 941-7708
Fax: (814) 941-7715
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT011814L | Pennsylvania |
Profile Details
| NPI number | 1942295498 |
|---|---|
| LBN Legal business name | Stroup, Jeremy Kent |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2005 |
| Last updated | Oct 10th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942295498 | NPPES |
| Pennsylvania | Other | 650021205 | RRMEDICARE |
| Pennsylvania | Other | 920436 | RRMEDICARE |
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