Van Beusekom, Janneke M
Van Beusekom, Janneke M is an sole proprietor health care provider with primary practice located at 822 Marietta Ave Suite 23, Lancaster PA 17603-3239. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Van Beusekom, Janneke M can be contacted via phone (717) 393-3002.Contact Information
Primary practice address
822 Marietta Ave Suite 23
Lancaster PA 17603-3239
Phone: (717) 393-3002
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CW013820 | Pennsylvania |
Profile Details
| NPI number | 1174573331 |
|---|---|
| LBN Legal business name | Van Beusekom, Janneke M |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 10th, 2006 |
| Last updated | Mar 15th, 2013 - about 11 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 | 1174573331 | NPPES |
| Pennsylvania | Other | 03157501 | CAPITAL BLUE CROSS |
| Pennsylvania | Other | 464460 | CAPITAL BLUE CROSS |
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