Wasylyshen, Jerralyn R
Wasylyshen, Jerralyn R is an individual health care provider with primary practice located at 4650 Hawthorne Rd Ste 2B , Chubbuck ID 83202-2376. 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. Wasylyshen, Jerralyn R can be contacted via phone (208) 238-3349.Contact Information
Primary practice address
4650 Hawthorne Rd Ste 2B
Chubbuck ID 83202-2376
Phone: (208) 238-3349
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT-1796 | Idaho |
Profile Details
| NPI number | 1780952093 |
|---|---|
| LBN Legal business name | Wasylyshen, Jerralyn R |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2011 |
| Last updated | Dec 1st, 2011 - about 14 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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