Church, Paul

Church, Paul is an sole proprietor health care provider with primary practice located at 1120 55Th St Ne , Canton OH 44721-3904. He recently has only one registered license in Nursing Service Providers / Home Health, which is considered as his primary health care specialty. Church, Paul can be contacted via phone (330) 966-0814.

Contact Information

Primary practice address
1120 55Th St Ne Canton OH 44721-3904
Fax: (330) 305-0815
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Home Health 163WH0200X RN239290 Ohio

Profile Details

NPI number 1093731903
LBN Legal business name Church, Paul
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 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 1093731903 NPPES
Ohio MEDICAID 2292728

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