Cooper-Bracy, Jamie Athela

Cooper-Bracy, Jamie Athela is an sole proprietor health care provider with primary practice located at 13846 State Route 613 , Van Buren OH 45889-9715. She recently has only one registered license in Nursing Service Related Providers / Homemaker, which is considered as her primary health care specialty. Cooper-Bracy, Jamie Athela can be contacted via phone (419) 889-5217.

Contact Information

Primary practice address
13846 State Route 613 Van Buren OH 45889-9715
Phone: (419) 889-5217
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Homemaker 376J00000X 3202635 Ohio

Profile Details

NPI number 1164016879
LBN Legal business name Cooper-Bracy, Jamie Athela
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 23rd, 2021
Last updated Feb 23rd, 2021 - about 3 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 1164016879 NPPES
Ohio MEDICAID 3202635

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