Ancona, Lacretia

Ancona, Lacretia is an sole proprietor health care provider with primary practice located at 700 Wessel Dr #181505 , Fairfield OH 45014. She recently has only one registered license in Agencies / In Home Supportive Care, which is considered as her primary health care specialty. Ancona, Lacretia can be contacted via phone (513) 410-5008.

Contact Information

Primary practice address
700 Wessel Dr #181505 Fairfield OH 45014
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / In Home Supportive Care 253Z00000X

Profile Details

NPI number 1669916789
LBN Legal business name Ancona, Lacretia
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 8th, 2016
Last updated Feb 2nd, 2017 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669916789 NPPES
Ohio MEDICAID 3119351

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