Webster, Jo Ellyn

Webster, Jo Ellyn is an individual health care provider with primary practice located at 650 Joel Dr , Fort Campbell KY 42223-5318. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Webster, Jo Ellyn can be contacted via phone (270) 798-8372.

Contact Information

Primary practice address
650 Joel Dr Fort Campbell KY 42223-5318
Phone: (270) 798-8372
Fax: (270) 956-0180
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 2396 Tennessee

Profile Details

NPI number 1437486008
LBN Legal business name Webster, Jo Ellyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2009
Last updated Nov 3rd, 2009 - about 15 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 1437486008 NPPES
Other VAD000 FEDERAL HOSPITAL

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