Cleary, Deborah Ann
Cleary, Deborah Ann is an sole proprietor health care provider with primary practice located at 2412 Forest Home Ave , Dayton OH 45404-2410. She recently has only one registered license in Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities, which is considered as her primary health care specialty. Cleary, Deborah Ann can be contacted via phone (937) 212-9606.Contact Information
Primary practice address
2412 Forest Home Ave
Dayton OH 45404-2410
Phone: (937) 212-9606
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities | 385HR2060X |
Profile Details
| NPI number | 1578165338 |
|---|---|
| LBN Legal business name | Cleary, Deborah Ann |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 16th, 2020 |
| Last updated | Oct 20th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578165338 | NPPES |
| Ohio | MEDICAID | 5718622 |
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