Dudley-Wilson, Ivory Grace
Dudley-Wilson, Ivory Grace is an sole proprietor health care provider with primary practice located at 19617 Nitra Ave , Maple Heights OH 44137-1708. She recently has only one registered license in Transportation Services / Non-emergency Medical Transport (VAN), which is considered as her primary health care specialty. Dudley-Wilson, Ivory Grace can be contacted via phone (216) 532-4919.Contact Information
Primary practice address
19617 Nitra Ave
Maple Heights OH 44137-1708
Phone: (216) 532-4919
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Transportation Services / Non-emergency Medical Transport (VAN) | 343900000X | RV798416 | Ohio |
Profile Details
| NPI number | 1093458093 |
|---|---|
| LBN Legal business name | Dudley-Wilson, Ivory Grace |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 18th, 2022 |
| Last updated | Apr 25th, 2022 - 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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