Janzen, Terry L
Janzen, Terry L is an individual health care provider with primary practice located at 407 Laurus St , Raymore MO 64083-8585. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Janzen, Terry L can be contacted via phone (816) 318-4430.Contact Information
Primary practice address
407 Laurus St
Raymore MO 64083-8585
Phone: (816) 318-4430
Fax: (816) 318-8865
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 005574 | Missouri |
Profile Details
| NPI number | 1659357887 |
|---|---|
| LBN Legal business name | Janzen, Terry L |
| Credentials | MSWQ |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 20th, 2005 |
| Last updated | Feb 14th, 2011 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659357887 | NPPES |
| Missouri | MEDICAID | 498612001 |
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