Kelley, Angella Annette
Kelley, Angella Annette is an sole proprietor health care provider with primary practice located at 1007 Academy Ct , Painesville OH 44077-2705. She recently has only one registered license in Nursing Service Related Providers / Nurse's Aide, which is considered as her primary health care specialty. Kelley, Angella Annette can be contacted via phone (440) 279-8416.Contact Information
Primary practice address
1007 Academy Ct
Painesville OH 44077-2705
Phone: (440) 279-8416
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Nurse's Aide | 376K00000X | 401562690813 | Ohio |
Profile Details
| NPI number | 1386046092 |
|---|---|
| LBN Legal business name | Kelley, Angella Annette |
| Credentials | STNA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 24th, 2014 |
| Last updated | Sep 24th, 2014 - about 10 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 | 1386046092 | NPPES |
| Ohio | Other | 0109204 | MEDICAID PROVIDER NUMBER |
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