Janelle, Jean G

Janelle, Jean G is an individual health care provider with primary practice located at 5900 Boymel Dr , Fairfield OH 45014-5526. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Janelle, Jean G can be contacted via phone (513) 874-9460.

Contact Information

Primary practice address
5900 Boymel Dr Fairfield OH 45014-5526
Fax: (513) 874-5731
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35034568 Ohio

Profile Details

NPI number 1841260296
LBN Legal business name Janelle, Jean G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Oct 17th, 2007 - about 17 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 1841260296 NPPES
Ohio MEDICAID 0204237

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