Provider Demographics
NPI:1003888249
Name:JANE A WINE
Entity Type:Organization
Organization Name:JANE A WINE
Other - Org Name:JUST YOU
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JANE
Authorized Official - Middle Name:A
Authorized Official - Last Name:WINE
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:740-633-2944
Mailing Address - Street 1:1103 S ZANE HWY
Mailing Address - Street 2:
Mailing Address - City:MARTINS FERRY
Mailing Address - State:OH
Mailing Address - Zip Code:43935-1967
Mailing Address - Country:US
Mailing Address - Phone:740-633-2944
Mailing Address - Fax:740-633-2873
Practice Address - Street 1:1103 S ZANE HWY
Practice Address - Street 2:
Practice Address - City:MARTINS FERRY
Practice Address - State:OH
Practice Address - Zip Code:43935-1967
Practice Address - Country:US
Practice Address - Phone:740-633-2944
Practice Address - Fax:740-633-2873
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-02
Last Update Date:2020-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
1003888249OtherANTHEM BCBS OF OHIO
000227413OtherMOUNTAIN STATE BC/BS
220507OtherHEALTH AMERICA
000000156188OtherANTHEM BC/BS
DME703AOtherHEALTH PLAN UPPER OV
1388109OtherUMWA
OH0832648Medicaid
1003888249OtherAETNA
WV0146900000Medicaid