Dragon, Nichelle

Dragon, Nichelle is an sole proprietor health care provider with primary practice located at 1245 Hankins Rd Ne Apt 2 , Massillon OH 44646-4483. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Dragon, Nichelle can be contacted via phone (330) 575-8919.

Contact Information

Primary practice address
1245 Hankins Rd Ne Apt 2 Massillon OH 44646-4483
Phone: (330) 575-8919
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X 3073669 Ohio

Profile Details

NPI number 1891100624
LBN Legal business name Dragon, Nichelle
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 1st, 2014
Last updated Jul 1st, 2014 - about 11 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 1891100624 NPPES
Ohio MEDICAID 3073669

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