Odom, Jenelle

Odom, Jenelle is an individual health care provider with primary practice located at 3657 E Main St , Whitehall OH 43213-2924. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Contact Lens, Eye and Vision Services Providers / Optician. Eye and Vision Services Providers / Optician is her primary health care specialty. Odom, Jenelle can be contacted via phone (614) 239-7829.

Contact Information

Primary practice address
3657 E Main St Whitehall OH 43213-2924
Phone: (614) 239-7829
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Contact Lens 156FC0800X 2485-SC Ohio
Eye and Vision Services Providers / Optician 156FX1800X 2485-SC Ohio

Profile Details

NPI number 1942907605
LBN Legal business name Odom, Jenelle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2023
Last updated Feb 13th, 2023 - about last year

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 1942907605 NPPES
Ohio MEDICAID 1306909577

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