Anderson, Janice Ophelia

Anderson, Janice Ophelia is an sole proprietor health care provider with primary practice located at 676 Nereid Ave 7, Bronx NY 10470-1532. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Anderson, Janice Ophelia can be contacted via phone (347) 881-8762.

Contact Information

Primary practice address
676 Nereid Ave 7 Bronx NY 10470-1532
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 280439-1 New York

Profile Details

NPI number 1750503678
LBN Legal business name Anderson, Janice Ophelia
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 2nd, 2007
Last updated Dec 15th, 2016 - about 8 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 1750503678 NPPES
New York MEDICAID 02809272

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