Smallcomb, Jane

Smallcomb, Jane is an individual health care provider with primary practice located at 15 Public Sq Suite 312, Wilkes Barre PA 18701-1702. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Smallcomb, Jane can be contacted via phone (570) 826-1777.

Contact Information

Primary practice address
15 Public Sq Suite 312 Wilkes Barre PA 18701-1702
Phone: (570) 826-1777
Fax: (570) 823-3040
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN333036L Pennsylvania

Profile Details

NPI number 1912122789
LBN Legal business name Smallcomb, Jane
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2007
Last updated Jun 21st, 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 1912122789 NPPES
Pennsylvania MEDICAID 1015952320003
Pennsylvania MEDICAID 1007678420038

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