Jetson, Resean
Jetson, Resean is an individual health care provider with primary practice located at 4014 N Hampton Dr , Powell OH 43065-8431. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Jetson, Resean can be contacted via phone (614) 470-4466.Contact Information
Primary practice address
4014 N Hampton Dr
Powell OH 43065-8431
Phone: (614) 470-4466
Fax: (614) 626-5301
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | P.08556 | Ohio |
Profile Details
| NPI number | 1619357837 |
|---|---|
| LBN Legal business name | Jetson, Resean |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2015 |
| Last updated | Oct 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619357837 | NPPES |
| Ohio | MEDICAID | 2846675 |
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