Burch, Benita Willetta

Burch, Benita Willetta is an sole proprietor health care provider with primary practice located at 1888 Burnette Ave , East Cleveland OH 44112-2017. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Burch, Benita Willetta can be contacted via phone (216) 761-8796.

Contact Information

Primary practice address
1888 Burnette Ave East Cleveland OH 44112-2017
Phone: (216) 761-8796
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN077778 Ohio

Profile Details

NPI number 1891855607
LBN Legal business name Burch, Benita Willetta
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 11th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891855607 NPPES
Ohio MEDICAID 2242184

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