Jansen, Laura A

Jansen, Laura A is an individual health care provider with primary practice located at 1221 Lee St , Charlottesville VA 22908-1002. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Jansen, Laura A can be contacted via phone (434) 924-5129.

Contact Information

Primary practice address
1221 Lee St Charlottesville VA 22908-1002
Phone: (434) 924-5129
Fax: (434) 924-9068
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 2018014102 Missouri
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 0101252279 Virginia

Profile Details

NPI number 1235210592
LBN Legal business name Jansen, Laura A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Aug 10th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235210592 NPPES
Missouri MEDICAID 200061331

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