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
Phone: (419) 756-5137
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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 2 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 | 1639399215 | NPPES |
Ohio | Other | 2705228 | IP |
Ohio | Other | 400552411106 | IP |
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