Berry-Davis, Keisha Alease

Berry-Davis, Keisha Alease is an individual health care provider with primary practice located at 752 Roxbury Ave , Youngstown OH 44502-2539. She recently has only one registered license in Nursing Service Related Providers / Homemaker, which is considered as her primary health care specialty. Berry-Davis, Keisha Alease can be contacted via phone (330) 519-8834.

Contact Information

Primary practice address
752 Roxbury Ave Youngstown OH 44502-2539
Phone: (330) 519-8834
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Homemaker 376J00000X

Profile Details

NPI number 1316694821
LBN Legal business name Berry-Davis, Keisha Alease
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2022
Last updated Mar 4th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316694821 NPPES
Ohio MEDICAID 99999999

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