Lane, Jennifer R

Lane, Jennifer R is an individual health care provider with primary practice located at 200 Church St , Ferguson MO 63135-2413. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Lane, Jennifer R can be contacted via phone (314) 824-2042.

Contact Information

Primary practice address
200 Church St Ferguson MO 63135-2413
Phone: (314) 824-2042
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X Missouri
Behavioral Health & Social Service Providers / Professional 101YP2500X 2022050174 Missouri

Profile Details

NPI number 1366184079
LBN Legal business name Lane, Jennifer R
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2022
Last updated Mar 4th, 2024 - about 8 months 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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