King, Jasmaine S

King, Jasmaine S is an sole proprietor health care provider with primary practice located at 14617 Wheeler Rd , Maple Heights OH 44137-4036. She recently has only one registered license in Agencies / Home Health, which is considered as her primary health care specialty. King, Jasmaine S can be contacted via phone (216) 356-0789.

Contact Information

Primary practice address
14617 Wheeler Rd Maple Heights OH 44137-4036
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X

Profile Details

NPI number 1922768795
LBN Legal business name King, Jasmaine S
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 21st, 2021
Last updated Dec 21st, 2021 - about 4 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 1922768795 NPPES
Ohio Other 1831880 DODD
Ohio MEDICAID 0445381 DODD

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