Eitel, Janice R.

Eitel, Janice R. is an sole proprietor health care provider with primary practice located at 13951 Terrace Rd , East Cleveland OH 44112-4308. She recently has only one registered license in Emergency Medical Service Providers / Personal Emergency Response Attendant, which is considered as her primary health care specialty. Eitel, Janice R. can be contacted via phone (216) 761-3300.

Contact Information

Primary practice address
13951 Terrace Rd East Cleveland OH 44112-4308
Phone: (216) 761-3300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Personal Emergency Response Attendant 146D00000X 35065939 Ohio

Profile Details

NPI number 1417991209
LBN Legal business name Eitel, Janice R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2006
Last updated Jun 27th, 2011 - about 13 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 1417991209 NPPES
Ohio Other 942460636457 CARESOURCE
Ohio MEDICAID 0979973 CARESOURCE

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