Blackenberry, Felicia Marie

Blackenberry, Felicia Marie is an sole proprietor health care provider with primary practice located at 3868 Eastrise Dr , Groveport OH 43125-9046. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Blackenberry, Felicia Marie can be contacted via phone (614) 920-0106.

Contact Information

Primary practice address
3868 Eastrise Dr Groveport OH 43125-9046
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X Ohio

Profile Details

NPI number 1073081279
LBN Legal business name Blackenberry, Felicia Marie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 6th, 2018
Last updated Nov 6th, 2018 - 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 1073081279 NPPES
Ohio MEDICAID 0257866

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