Macon, Quientessa

Macon, Quientessa is an sole proprietor health care provider with primary practice located at 23838 Vincent Dr , North Olmsted OH 44070-1053. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Macon, Quientessa can be contacted via phone (216) 333-0009.

Contact Information

Primary practice address
23838 Vincent Dr North Olmsted OH 44070-1053
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1386204121
LBN Legal business name Macon, Quientessa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2019
Last updated Jun 14th, 2019 - about 5 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 1386204121 NPPES
Ohio MEDICAID 0337478

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