Taber, Jennifer A

Taber, Jennifer A is an individual health care provider with primary practice located at 1630 Commanche Ave , Green Bay WI 54313-5753. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Taber, Jennifer A can be contacted via phone (920) 430-4750.

Contact Information

Primary practice address
1630 Commanche Ave Green Bay WI 54313-5753
Phone: (920) 430-4750
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 4173 Wisconsin

Profile Details

NPI number 1437134012
LBN Legal business name Taber, Jennifer A
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2005
Last updated Apr 28th, 2014 - about 12 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 1437134012 NPPES
Wisconsin Other 4173026 LICENSE

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