Knicely, Elizabeth A
Knicely, Elizabeth A is an individual health care provider with primary practice located at 1303 W Maple St Ste 102 , North Canton OH 44720-2858. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Knicely, Elizabeth A can be contacted via phone (330) 442-2664.Contact Information
Primary practice address
1303 W Maple St Ste 102
North Canton OH 44720-2858
Phone: (330) 442-2664
Fax: (330) 775-7889
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | APRN.CNP.0030607 | Ohio |
Profile Details
| NPI number | 1437800919 |
|---|---|
| LBN Legal business name | Knicely, Elizabeth A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 16th, 2022 |
| Last updated | Feb 15th, 2024 - about 9 months 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 | 1437800919 | NPPES |
| Ohio | MEDICAID | 0474456 |
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