Debardelaben, Tiesha Sharease

Debardelaben, Tiesha Sharease is an sole proprietor health care provider with primary practice located at 1453 Westover Rd , Cleveland Heights OH 44118-1341. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Debardelaben, Tiesha Sharease can be contacted via phone (216) 320-9662.

Contact Information

Primary practice address
1453 Westover Rd Cleveland Heights OH 44118-1341
Phone: (216) 320-9662
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN.114862 Ohio

Profile Details

NPI number 1164647301
LBN Legal business name Debardelaben, Tiesha Sharease
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 14th, 2007
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 1164647301 NPPES
Ohio MEDICAID 2550190

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