Wornom, Jennifer R

Wornom, Jennifer R is an individual health care provider with primary practice located at 901 Enterprise Pkwy Ste 900 , Hampton VA 23666-6250. 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. Wornom, Jennifer R can be contacted via phone (757) 827-2480.

Contact Information

Primary practice address
901 Enterprise Pkwy Ste 900 Hampton VA 23666-6250
Phone: (757) 827-2480
Fax: (757) 827-2566
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2305005217 Virginia

Profile Details

NPI number 1639228356
LBN Legal business name Wornom, Jennifer R
Credentials PT, OCS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2007
Last updated Feb 5th, 2024 - about 2 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 1639228356 NPPES
Virginia Other 192931 BCBS (PHYS. THERAPY)
Virginia MEDICAID 3001754142 BCBS (PHYS. THERAPY)
Virginia Other 5046653 BCBS (PHYS. THERAPY)

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