Blakely, Jorden Deneil
Blakely, Jorden Deneil is an sole proprietor health care provider with primary practice located at 6805 Mayfield Rd Apt 606 , Mayfield Heights OH 44124-2252. He recently has only one registered license in Nursing Service Related Providers / Homemaker, which is considered as his primary health care specialty. Blakely, Jorden Deneil can be contacted via phone (216) 801-5494.Contact Information
Primary practice address
6805 Mayfield Rd Apt 606
Mayfield Heights OH 44124-2252
Phone: (216) 801-5494
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Homemaker | 376J00000X |
Profile Details
| NPI number | 1568171833 |
|---|---|
| LBN Legal business name | Blakely, Jorden Deneil |
| Credentials | OWNER |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 16th, 2022 |
| Last updated | Nov 16th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568171833 | NPPES |
| Ohio | Other | 92-0390919 | HOMECARE |
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