Pruden, Jena C

Pruden, Jena C is an sole proprietor health care provider with primary practice located at 5494 Bullfinch Dr , Westerville OH 43081-8606. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Pruden, Jena C can be contacted via phone (419) 217-4314.

Contact Information

Primary practice address
5494 Bullfinch Dr Westerville OH 43081-8606
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1184231904
LBN Legal business name Pruden, Jena C
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2020
Last updated Sep 25th, 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 1184231904 NPPES
Ohio MEDICAID 2570141

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