Vautour, Joann
Vautour, Joann is an individual health care provider with primary practice located at 3054 Enterprise Dr , State College PA 16801-2755. 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. Vautour, Joann can be contacted via phone (814) 234-6023.Contact Information
Primary practice address
3054 Enterprise Dr
State College PA 16801-2755
Phone: (814) 234-6023
Fax: (814) 234-1439
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT002499E | Pennsylvania |
Profile Details
| NPI number | 1780702787 |
|---|---|
| LBN Legal business name | Vautour, Joann |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2007 |
| Last updated | Aug 27th, 2008 - about 18 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 | 1780702787 | NPPES |
| Pennsylvania | MEDICAID | 0019439410001 |
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