Waltz, Jenna
Waltz, Jenna is an individual health care provider with primary practice located at 4641 Fulton Dr Nw , Canton OH 44718-2384. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Waltz, Jenna can be contacted via phone (330) 433-6075.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1396129698 |
|---|---|
| LBN Legal business name | Waltz, Jenna |
| Credentials | Master of Education (MED) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 16th, 2015 |
| Last updated | Jul 16th, 2015 - about 11 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 | 1396129698 | NPPES |
| Ohio | MEDICAID | 0290822 |
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