Allen, Tyneisha
Allen, Tyneisha is an sole proprietor health care provider with primary practice located at 9220 Mentor Ave , Mentor OH 44060-6412. She recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as her primary health care specialty. Allen, Tyneisha can be contacted via phone (440) 354-9924.Contact Information
Primary practice address
9220 Mentor Ave
Mentor OH 44060-6412
Phone: (440) 354-9924
Fax: (440) 205-1025
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X |
Profile Details
| NPI number | 1639852007 |
|---|---|
| LBN Legal business name | Allen, Tyneisha |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 10th, 2023 |
| Last updated | Aug 10th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639852007 | NPPES |
| Ohio | MEDICAID | 2864093 |
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