Self, Jolene K

Self, Jolene K is an individual health care provider with primary practice located at 749 Bryants Town Rd , Farnham VA 22460-3025. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Self, Jolene K can be contacted via phone (804) 761-4579.

Contact Information

Primary practice address
749 Bryants Town Rd Farnham VA 22460-3025
Phone: (804) 761-4579
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1831492008
LBN Legal business name Self, Jolene K
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 10th, 2010
Last updated Dec 10th, 2010 - 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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