Gresham, Janna Leigh
Gresham, Janna Leigh is an individual health care provider with primary practice located at 100 Greenbriar Dr , Campbellsville KY 42718-9613. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Gresham, Janna Leigh can be contacted via phone (270) 465-5200.Contact Information
Primary practice address
100 Greenbriar Dr
Campbellsville KY 42718-9613
Phone: (270) 465-5200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | DC0000001788 | Tennessee |
| Chiropractic Providers / Chiropractor | 111N00000X | 5035 | Kentucky |
Profile Details
| NPI number | 1013922129 |
|---|---|
| LBN Legal business name | Gresham, Janna Leigh |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2006 |
| Last updated | Mar 24th, 2010 - about 16 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 | 1013922129 | NPPES |
| Tennessee | Other | 4012576 | BLUE CROSS BLUE SHIELD |
| Tennessee | MEDICAID | 7100017000 | BLUE CROSS BLUE SHIELD |
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