Fishell, Jarvia Lynn
Fishell, Jarvia Lynn is an sole proprietor health care provider with primary practice located at 33108 Lighthouse Rd , Selbyville DE 19975-4018. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Fishell, Jarvia Lynn can be contacted via phone (443) 229-7400.Contact Information
Primary practice address
33108 Lighthouse Rd
Selbyville DE 19975-4018
Phone: (443) 229-7400
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | LC0742 | Maryland |
Profile Details
NPI number | 1396928735 |
---|---|
LBN Legal business name | Fishell, Jarvia Lynn |
Credentials | LCPC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 7th, 2007 |
Last updated | Dec 6th, 2021 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1396928735 | NPPES |
Maryland | Other | 259147-000 | MAGELLAN BEHAVIORAL HEALTH |
Maryland | MEDICAID | 609550001 | MAGELLAN BEHAVIORAL HEALTH |
Maryland | Other | 7840093 | MAGELLAN BEHAVIORAL HEALTH |
Maryland | Other | R968 | MAGELLAN BEHAVIORAL HEALTH |
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