Masterino, Jennifer Marie

Masterino, Jennifer Marie is an sole proprietor health care provider with primary practice located at 12557 Ravenwood Dr , Chardon OH 44024-9009. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Masterino, Jennifer Marie can be contacted via phone (800) 465-3203.

Contact Information

Primary practice address
12557 Ravenwood Dr Chardon OH 44024-9009
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X Ohio

Profile Details

NPI number 1346814191
LBN Legal business name Masterino, Jennifer Marie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2021
Last updated May 17th, 2021 - about 4 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 1346814191 NPPES
Ohio Other 175T00000X RAVENWOOD

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