Phares, Jeanine Marie

Phares, Jeanine Marie is an individual health care provider with primary practice located at 836 Xenia Ave , Xenia OH 45385-5158. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Home Health Aide, Nursing Service Related Providers / Homemaker. Nursing Service Related Providers / Home Health Aide is her primary health care specialty. Phares, Jeanine Marie can be contacted via phone (937) 768-0559.

Contact Information

Primary practice address
836 Xenia Ave Xenia OH 45385-5158
Phone: (937) 768-0559
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X Ohio
Nursing Service Related Providers / Homemaker 376J00000X RQ540121 Ohio
Nursing Service Related Providers / Home Health Aide 374U00000X RQ540121 Ohio

Profile Details

NPI number 1629671136
LBN Legal business name Phares, Jeanine Marie
Credentials ISP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2020
Last updated Nov 17th, 2020 - 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 1629671136 NPPES
Ohio MEDICAID 2-10086
Ohio MEDICAID 109402347899

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