Descenna, Nicole Marie
Descenna, Nicole Marie is an sole proprietor health care provider with primary practice located at 8466 Carriage Hill Dr Ne , Warren OH 44484-1661. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Descenna, Nicole Marie can be contacted via phone (216) 760-2668.Contact Information
Primary practice address
8466 Carriage Hill Dr Ne
Warren OH 44484-1661
Phone: (216) 760-2668
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | Ohio |
Profile Details
| NPI number | 1083200240 |
|---|---|
| LBN Legal business name | Descenna, Nicole Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 11th, 2020 |
| Last updated | Dec 11th, 2020 - about 4 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 | 1083200240 | NPPES |
| Ohio | MEDICAID | 17500000X |
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