Faulkner, Janice Kay

Faulkner, Janice Kay is an sole proprietor health care provider with primary practice located at 1223 5Th Ave , Fort Worth TX 76104. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Faulkner, Janice Kay can be contacted via phone (817) 870-1291.

Contact Information

Primary practice address
1223 5Th Ave Fort Worth TX 76104
Fax: (817) 870-4928
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X DR3962 Texas

Profile Details

NPI number 1013050319
LBN Legal business name Faulkner, Janice Kay
Credentials OPTICIAN OWNER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2007
Last updated Jul 1st, 2008 - about 16 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 1013050319 NPPES
Texas MEDICAID 066429401

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