Jeandervin, Connie J

Jeandervin, Connie J is an sole proprietor health care provider with primary practice located at 524 Evergreen Dr , Dover OH 44622-1302. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Jeandervin, Connie J can be contacted via phone (330) 364-6184.

Contact Information

Primary practice address
524 Evergreen Dr Dover OH 44622-1302
Phone: (330) 364-6184
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN.176450 Ohio

Profile Details

NPI number 1194023267
LBN Legal business name Jeandervin, Connie J
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2011
Last updated Mar 14th, 2011 - about 14 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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