Gillum, Chenita Dawn

Gillum, Chenita Dawn is an individual health care provider with primary practice located at 260 E Cook Rd Apt 109, Mansfield OH 44907. She recently has only one registered license in Nursing Service Related Providers / Homemaker, which is considered as her primary health care specialty. Gillum, Chenita Dawn can be contacted via phone (419) 756-5137.

Contact Information

Primary practice address
260 E Cook Rd Apt 109 Mansfield OH 44907
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Homemaker 376J00000X

Profile Details

NPI number 1639399215
LBN Legal business name Gillum, Chenita Dawn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2007
Last updated Aug 30th, 2023 - about last year

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 1639399215 NPPES
Ohio Other 2705228 IP
Ohio Other 400552411106 IP

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