Atwell, Jennifer Marie

Atwell, Jennifer Marie is an sole proprietor health care provider with primary practice located at 85 W Raleigh Ave , Mansfield OH 44907-1335. She recently has 3 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Agencies / Home Health, Agencies / Nursing Care. Agencies / Home Health is her primary health care specialty. Atwell, Jennifer Marie can be contacted via phone (567) 241-3618.

Contact Information

Primary practice address
85 W Raleigh Ave Mansfield OH 44907-1335
Phone: (567) 241-3618
Fax: (419) 775-5487
Website:
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Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X 2971324 Ohio
Agencies / Home Health 251E00000X 2971324 Ohio
Agencies / Nursing Care 251J00000X 2971324 Ohio

Profile Details

NPI number 1548504160
LBN Legal business name Atwell, Jennifer Marie
Credentials CERTIFIED PROVIDER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 20th, 2012
Last updated Nov 20th, 2012 - about 12 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 1548504160 NPPES
Ohio Other 7002406 OHIO DEPARTMENT OF DEVELOPMENTAL DISABILITIES CONTRACT NUMBER
Ohio MEDICAID 2971324 OHIO DEPARTMENT OF DEVELOPMENTAL DISABILITIES CONTRACT NUMBER

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