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Contact Information

JENNIFER MAYBRY, ATC
102 IRVING ST NW
WASHINGTON, DC20010-2921
 Phone: 573-587-9805
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for JENNIFER MAYBRY · (Female)

NPI # 1346870789
Status Active
Credentials ATC
Entity Individual
Enumeration date 01/24/2020
Last updated 01/24/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MD License # A0000125
  • VA License # 0126002768
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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