Hansen-Moore, Jennifer A
Hansen-Moore, Jennifer A is an individual health care provider with primary practice located at 700 Childrens Dr , Columbus OH 43205-2664. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Hansen-Moore, Jennifer A can be contacted via phone (614) 722-4700.Contact Information
Primary practice address
700 Childrens Dr
Columbus OH 43205-2664
Phone: (614) 722-4700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 6945 | Ohio |
Profile Details
| NPI number | 1568714400 |
|---|---|
| LBN Legal business name | Hansen-Moore, Jennifer A |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 2nd, 2012 |
| Last updated | Jan 30th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568714400 | NPPES |
| Ohio | MEDICAID | 1473276 |
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