Fanslow, Jane Ellen
Fanslow, Jane Ellen is an individual health care provider with primary practice located at 2501 Oregon Pike , Lancaster PA 17601-4890. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Fanslow, Jane Ellen can be contacted via phone (717) 735-1954.Contact Information
Primary practice address
2501 Oregon Pike
Lancaster PA 17601-4890
Phone: (717) 735-1954
Fax: (717) 569-3045
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 1875 | Georgia |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0701006088 | Virginia |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | PC009613 | Pennsylvania |
Profile Details
| NPI number | 1376696344 |
|---|---|
| LBN Legal business name | Fanslow, Jane Ellen |
| Credentials | MS, LPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 20th, 2007 |
| Last updated | Sep 23rd, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376696344 | NPPES |
| Pennsylvania | MEDICAID | 103757465 | |
| Pennsylvania | Other | 10751861 |
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