Fornwalt, Jean Ann

Fornwalt, Jean Ann is an sole proprietor health care provider with primary practice located at 201 Chestnut Ave , Altoona PA 16601-4927. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Fornwalt, Jean Ann can be contacted via phone (814) 946-5411.

Contact Information

Primary practice address
201 Chestnut Ave Altoona PA 16601-4927
Phone: (814) 946-5411
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN28033 Pennsylvania

Profile Details

NPI number 1609190511
LBN Legal business name Fornwalt, Jean Ann
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2010
Last updated Mar 22nd, 2010 - about 14 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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