Janet Wickline
Individual provider Active NPI Personal Care Attendant · Minford, OH
NPI 1104669381 · NPPES record last updated Jun 17, 2024
Key facts
- NPI
- 1104669381
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 12056 State Route 139
Minford, OH 45653-8765 - Phone
- (740) 438-9995
- NPI assigned
- Jun 17, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | OH | Yes |
Addresses
Primary practice location
12056 State Route 139
Minford, OH 45653-8765
Mailing address
12056 State Route 139
Minford, OH 45653-8765
Phone (740) 438-9995
Other providers in Minford, OH
- Laura Noel Tingler
- Kimberly June Walk
- Ernest Eugene White
- Stardust Jo White
- Tristan Phoenix White I
- Wild Rose Counseling LLC
All providers in Minford, OH · Personal Care Attendant in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.