Bennett, Traci Ann
Bennett, Traci Ann is an sole proprietor health care provider with primary practice located at 1148 Sweetbriar Dr , Vermilion OH 44089-1529. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Bennett, Traci Ann can be contacted via phone (440) 967-1609.Contact Information
Primary practice address
1148 Sweetbriar Dr
Vermilion OH 44089-1529
Phone: (440) 967-1609
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Home Health Aide | 374U00000X |
Profile Details
| NPI number | 1164551586 |
|---|---|
| LBN Legal business name | Bennett, Traci Ann |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 2nd, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1164551586 | NPPES |
| Ohio | MEDICAID | 2671989 |
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