Jetmore, Odelia

Jetmore, Odelia is an sole proprietor health care provider with primary practice located at 2121 Lake Ave , Fort Wayne IN 46805-5100. She recently has only one registered license in Nursing Service Providers / Emergency, which is considered as her primary health care specialty. Jetmore, Odelia can be contacted via phone (260) 426-5431.

Contact Information

Primary practice address
2121 Lake Ave Fort Wayne IN 46805-5100
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Emergency 163WE0003X 28079567 Indiana
Nursing Service Providers / Emergency 163WE0003X 28079567A Indiana

Profile Details

NPI number 1093400848
LBN Legal business name Jetmore, Odelia
Credentials RN MSN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 7th, 2023
Last updated Apr 7th, 2023 - about last year

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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