Abbott, Jeannine K

Abbott, Jeannine K is an individual health care provider with primary practice located at 4400 Easton Cmns Ste 125 , Columbus OH 43219-6223. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Abbott, Jeannine K can be contacted via phone (574) 546-1900.

Contact Information

Primary practice address
4400 Easton Cmns Ste 125 Columbus OH 43219-6223
Phone: (574) 546-1900
Fax: (574) 546-1999
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 5891 Ohio
Behavioral Health & Social Service Providers / Health 103TH0004X P.5891 Ohio
Behavioral Health & Social Service Providers / Clinical 103TC0700X P.5891 Ohio

Profile Details

NPI number 1225121767
LBN Legal business name Abbott, Jeannine K
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Nov 30th, 2020 - about 4 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 1225121767 NPPES
Ohio MEDICAID 0083266

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