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Contact Information

JANICE L FETHEROLF, AID
12209 LECORNE ST
MILLERSPORT, OH43046
 Phone: 740-507-8544
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health Aide

374U00000X
Indicates primary specialty

NPI Profile & details for JANICE L FETHEROLF · (Female)

NPI Number 1104948843
Status Active
Credentials AID
Entity Individual
Enumeration date 04/04/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 253359
  • OH Medicaid 105552217999
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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