Jetty, Lois B
Jetty, Lois B is an individual health care provider with primary practice located at 4439 State Route 159 Ste G10, Chillicothe OH 45601-8207. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Jetty, Lois B can be contacted via phone (740) 779-4300.Contact Information
Primary practice address
4439 State Route 159 Ste G10
Chillicothe OH 45601-8207
Phone: (740) 779-4300
Fax: (740) 779-4390
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35.068325 | Ohio |
Profile Details
| NPI number | 1154342020 |
|---|---|
| LBN Legal business name | Jetty, Lois B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 23rd, 2006 |
| Last updated | Nov 19th, 2020 - about 5 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 | 1154342020 | NPPES |
| Ohio | MEDICAID | 0189933 |
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