Chambers, Kelli Suzanne

Chambers, Kelli Suzanne is an sole proprietor health care provider with primary practice located at 10171 Johnnycake Ridge Rd , Concord Twp OH 44077-2163. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Chambers, Kelli Suzanne can be contacted via phone (440) 521-6109.

Contact Information

Primary practice address
10171 Johnnycake Ridge Rd Concord Twp OH 44077-2163
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X 3650345 Ohio

Profile Details

NPI number 1972069409
LBN Legal business name Chambers, Kelli Suzanne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 2019
Last updated Feb 20th, 2019 - about 6 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 1972069409 NPPES
Ohio MEDICAID 4302507

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