Walters, Jessica Marie

Walters, Jessica Marie is an sole proprietor health care provider with primary practice located at 33 West St , Jackson OH 45640-1564. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Walters, Jessica Marie can be contacted via phone (740) 395-6912.

Contact Information

Primary practice address
33 West St Jackson OH 45640-1564
Phone: (740) 395-6912
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X 4064949 Ohio

Profile Details

NPI number 1942815345
LBN Legal business name Walters, Jessica Marie
Credentials INDEPENDENT PROVIDE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 11th, 2020
Last updated Sep 11th, 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 1942815345 NPPES
Ohio MEDICAID 0271855

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