Provider Demographics
NPI:1386393817
Name:HAUSER, JEANIE LYNN
Entity type:Individual
Prefix:MS
First Name:JEANIE
Middle Name:LYNN
Last Name:HAUSER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:229 BLOSSER ST
Mailing Address - Street 2:
Mailing Address - City:NEW LEBANON
Mailing Address - State:OH
Mailing Address - Zip Code:45345-1405
Mailing Address - Country:US
Mailing Address - Phone:937-760-2650
Mailing Address - Fax:
Practice Address - Street 1:229 BLOSSER ST
Practice Address - Street 2:
Practice Address - City:NEW LEBANON
Practice Address - State:OH
Practice Address - Zip Code:45345-1405
Practice Address - Country:US
Practice Address - Phone:937-760-2650
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-22
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant