Janicke, Marium

Janicke, Marium is an individual health care provider with primary practice located at 212 Old Grande Blvd Ste A110 , Tyler TX 75703-4256. She recently has only one registered license in Nursing Service Providers / Pediatrics, which is considered as her primary health care specialty. Janicke, Marium can be contacted via phone (903) 509-3742.

Contact Information

Primary practice address
212 Old Grande Blvd Ste A110 Tyler TX 75703-4256
Phone: (903) 509-3742
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X 741938 Texas

Profile Details

NPI number 1134748395
LBN Legal business name Janicke, Marium
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2020
Last updated Apr 8th, 2020 - about 4 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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