Lake, Madison
Lake, Madison is an sole proprietor health care provider with primary practice located at 2201 S Ridge Rd E , Ashtabula OH 44004-4458. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Lake, Madison can be contacted via phone (330) 703-1819.Contact Information
Primary practice address
2201 S Ridge Rd E
Ashtabula OH 44004-4458
Phone: (330) 703-1819
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Personal Care Attendant | 3747P1801X |
Profile Details
| NPI number | 1871362848 |
|---|---|
| LBN Legal business name | Lake, Madison |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 1st, 2024 |
| Last updated | Jan 1st, 2024 - about 10 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.
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