Jantausch, Kim Doreen

Jantausch, Kim Doreen is an individual health care provider with primary practice located at 96 Elizabeth St , Delaware OH 43015-2446. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Jantausch, Kim Doreen can be contacted via phone (740) 363-8000.

Contact Information

Primary practice address
96 Elizabeth St Delaware OH 43015-2446
Phone: (740) 363-8000
Fax: (740) 363-6419
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN 074584 Ohio

Profile Details

NPI number 1609840354
LBN Legal business name Jantausch, Kim Doreen
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2006
Last updated Jul 8th, 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 1609840354 NPPES
Ohio Other 2173062 INDEPENDENT PROVIDER

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