Didomenico, Nicole Taylor
Didomenico, Nicole Taylor is an sole proprietor health care provider with primary practice located at 30800 Chagrin Blvd , Pepper Pike OH 44124-5925. She recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as her primary health care specialty. Didomenico, Nicole Taylor can be contacted via phone (216) 591-0324.Contact Information
Primary practice address
30800 Chagrin Blvd
Pepper Pike OH 44124-5925
Phone: (216) 591-0324
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X |
Profile Details
| NPI number | 1558970095 |
|---|---|
| LBN Legal business name | Didomenico, Nicole Taylor |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 30th, 2020 |
| Last updated | Jul 30th, 2020 - about 6 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 | 1558970095 | NPPES |
| Ohio | MEDICAID | 2877463 |
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