Holiday, Jessica Grace
Holiday, Jessica Grace is an sole proprietor health care provider with primary practice located at 2407 Wimbledon Rd , Columbus OH 43220-4332. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Holiday, Jessica Grace can be contacted via phone (614) 451-9628.Contact Information
Primary practice address
2407 Wimbledon Rd
Columbus OH 43220-4332
Phone: (614) 451-9628
Fax: (614) 451-0869
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Personal Care Attendant | 3747P1801X |
Profile Details
| NPI number | 1417988866 |
|---|---|
| LBN Legal business name | Holiday, Jessica Grace |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 5th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1417988866 | NPPES |
| Ohio | MEDICAID | 2394887 |
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