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Contact Information

STEPHANI D JANNENGA
565 W. WESTERN AVE.
MUSKEGON, MI49440
 Phone: 231-672-3201
 Fax: 231-672-8404
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community Health Worker

172V00000X
Indicates primary specialty

NPI Profile & details for STEPHANI D JANNENGA · (Female)

NPI Number 1568932101
Status Active
Credentials
Entity Individual
Enumeration date 11/27/2018
Last updated 11/27/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers Not Available
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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