Vernam, Jody Ellen

Vernam, Jody Ellen is an sole proprietor health care provider with primary practice located at 107 Breckenridge Street Suite 3, Grove City PA 16127-1025. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Vernam, Jody Ellen can be contacted via phone (724) 458-4990.

Contact Information

Primary practice address
107 Breckenridge Street Suite 3 Grove City PA 16127-1025
Fax: (855) 775-0514
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X PC004344 Pennsylvania
Behavioral Health & Social Service Providers / Counselor 101Y00000X PC004344 Pennsylvania

Profile Details

NPI number 1427194398
LBN Legal business name Vernam, Jody Ellen
Credentials LICENSED PROFESSIONA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2007
Last updated Aug 31st, 2012 - about 14 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 1427194398 NPPES
Pennsylvania Other 1973158 HIGHMARK
Pennsylvania MEDICAID 102297262 HIGHMARK

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