Krisko, Janice L

Krisko, Janice L is an individual health care provider with primary practice located at 1480 Center Rd Suite A, Avon OH 44011-1239. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Krisko, Janice L can be contacted via phone (440) 937-4600.

Contact Information

Primary practice address
1480 Center Rd Suite A Avon OH 44011-1239
Phone: (440) 937-4600
Fax: (440) 937-4605
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 50000548 Ohio

Profile Details

NPI number 1104149566
LBN Legal business name Krisko, Janice L
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2010
Last updated Sep 18th, 2015 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1104149566 NPPES
Ohio MEDICAID 3025372

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