Sullivan, Jaclyn Kaye
Sullivan, Jaclyn Kaye is an individual health care provider with primary practice located at 800 Lakefront Way , Two Rivers WI 54241-3301. 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. Sullivan, Jaclyn Kaye can be contacted via phone (920) 320-2436.Contact Information
Primary practice address
800 Lakefront Way
Two Rivers WI 54241-3301
Phone: (920) 320-2436
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 12600 | Wisconsin |
Profile Details
| NPI number | 1235338377 |
|---|---|
| LBN Legal business name | Sullivan, Jaclyn Kaye |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2007 |
| Last updated | Dec 20th, 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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