Bristow, Lee Ann

Bristow, Lee Ann is an individual health care provider with primary practice located at 12991 Emerson Rd , Apple Creek OH 44606-9302. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Bristow, Lee Ann can be contacted via phone (330) 857-0177.

Contact Information

Primary practice address
12991 Emerson Rd Apple Creek OH 44606-9302
Phone: (330) 857-0177
Fax: (330) 857-0190
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 268563 Ohio

Profile Details

NPI number 1124099924
LBN Legal business name Bristow, Lee Ann
Credentials APRN-CNM, MS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Jul 12th, 2021 - about 4 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 1124099924 NPPES
Massachusetts MEDICAID 2137968

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