Redmond, Jeanette
Redmond, Jeanette is an sole proprietor health care provider with primary practice located at 216 S Orange St 439 South Ave., Media PA 19063-3626. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Redmond, Jeanette can be contacted via phone (610) 566-5886.Contact Information
Primary practice address
216 S Orange St 439 South Ave.
Media PA 19063-3626
Phone: (610) 566-5886
Fax: (610) 566-5886
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CW014137 | Pennsylvania |
Profile Details
| NPI number | 1063564318 |
|---|---|
| LBN Legal business name | Redmond, Jeanette |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 17th, 2007 |
| Last updated | Jun 12th, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063564318 | NPPES |
| Pennsylvania | MEDICAID | 230422000 |
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