Charles, Dedra Leann
Charles, Dedra Leann is an sole proprietor health care provider with primary practice located at 1004 Sugar Camp Jackson Fork Rd , South Webster OH 45682-9033. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Charles, Dedra Leann can be contacted via phone (740) 285-0326.Contact Information
Primary practice address
1004 Sugar Camp Jackson Fork Rd
South Webster OH 45682-9033
Phone: (740) 285-0326
Fax: (740) 778-4016
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Licensed Practical Nurse | 164W00000X | 120152 | Ohio |
Profile Details
NPI number | 1710235718 |
---|---|
LBN Legal business name | Charles, Dedra Leann |
Credentials | Licensed Practical Nurse (LPN) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 22nd, 2012 |
Last updated | Aug 22nd, 2012 - about 12 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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