Kirksey, Nicole Dayna
Kirksey, Nicole Dayna is an individual health care provider with primary practice located at 1442 Struble Ave Ne , Canton OH 44705-1253. She recently has only one registered license in Other Service Providers / Driver, which is considered as her primary health care specialty. Kirksey, Nicole Dayna can be contacted via phone (330) 830-6317.Contact Information
Primary practice address
1442 Struble Ave Ne
Canton OH 44705-1253
Phone: (330) 830-6317
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Driver | 172A00000X | RV046173 | Ohio |
Profile Details
| NPI number | 1164552303 |
|---|---|
| LBN Legal business name | Kirksey, Nicole Dayna |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 6th, 2007 |
| 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 | 1164552303 | NPPES |
| Ohio | MEDICAID | 2509413 |
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