Fanslow, Jane Ellen

Fanslow, Jane Ellen is an individual health care provider with primary practice located at 2501 Oregon Pike , Lancaster PA 17601-4890. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Fanslow, Jane Ellen can be contacted via phone (717) 735-1954.

Contact Information

Primary practice address
2501 Oregon Pike Lancaster PA 17601-4890
Phone: (717) 735-1954
Fax: (717) 569-3045
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 1875 Georgia
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701006088 Virginia
Behavioral Health & Social Service Providers / Professional 101YP2500X PC009613 Pennsylvania

Profile Details

NPI number 1376696344
LBN Legal business name Fanslow, Jane Ellen
Credentials MS, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2007
Last updated Sep 23rd, 2022 - about 2 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 1376696344 NPPES
Pennsylvania MEDICAID 103757465
Pennsylvania Other 10751861

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