Jennings, Lane Edward
Jennings, Lane Edward is an sole proprietor health care provider with primary practice located at 5765 Pendlebury Ct , Port Orange FL 32127-7960. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Jennings, Lane Edward can be contacted via phone (386) 852-6281.Contact Information
Primary practice address
5765 Pendlebury Ct
Port Orange FL 32127-7960
Phone: (386) 852-6281
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 16345 | Florida |
Profile Details
| NPI number | 1134739543 |
|---|---|
| LBN Legal business name | Jennings, Lane Edward |
| Credentials | LCSW, MCAP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 1st, 2020 |
| Last updated | Aug 1st, 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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