Provider Demographics
NPI:1841434248
Name:JARMAN, CYNTHIA HENRY (CPED, CFO)
Entity type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:HENRY
Last Name:JARMAN
Suffix:
Gender:F
Credentials:CPED, CFO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:907 N 2ND ST
Mailing Address - Street 2:
Mailing Address - City:ALBEMARLE
Mailing Address - State:NC
Mailing Address - Zip Code:28001-3317
Mailing Address - Country:US
Mailing Address - Phone:704-983-5644
Mailing Address - Fax:704-982-2313
Practice Address - Street 1:907 N 2ND ST
Practice Address - Street 2:
Practice Address - City:ALBEMARLE
Practice Address - State:NC
Practice Address - Zip Code:28001-3317
Practice Address - Country:US
Practice Address - Phone:704-983-5644
Practice Address - Fax:704-982-2313
Is Sole Proprietor?:No
Enumeration Date:2009-04-29
Last Update Date:2010-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCCFO02659225000000X, 222Z00000X
NCCPED0881225000000X, 222Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic Fitter
No222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7795170Medicaid
NC7795204Medicaid