Jefferds, Sueann

Jefferds, Sueann is an sole proprietor health care provider with primary practice located at 5146 Hallgate Ave , Toledo OH 43612-3020. She recently has only one registered license in Other Service Providers / Home Modifications, which is considered as her primary health care specialty. Jefferds, Sueann can be contacted via phone (419) 806-9908.

Contact Information

Primary practice address
5146 Hallgate Ave Toledo OH 43612-3020
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Home Modifications 171WH0202X

Profile Details

NPI number 1003533852
LBN Legal business name Jefferds, Sueann
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 24th, 2022
Last updated Oct 24th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003533852 NPPES
Ohio MEDICAID 0296271

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