Louck, Janice M

Louck, Janice M is an individual health care provider with primary practice located at 1301 W 7Th St Suite 121, Fort Worth TX 76102-2651. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Louck, Janice M can be contacted via phone (817) 348-0425.

Contact Information

Primary practice address
1301 W 7Th St Suite 121 Fort Worth TX 76102-2651
Phone: (817) 348-0425
Fax: (817) 348-0455
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 516571 Texas

Profile Details

NPI number 1790784494
LBN Legal business name Louck, Janice M
Credentials MSN, RNCS, FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2005
Last updated Mar 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790784494 NPPES
Texas MEDICAID 092888910
Texas MEDICAID 092888909

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