Mandel, Laurie
Mandel, Laurie is an individual health care provider with primary practice located at 2503 Rubyvale Rd , University Hts OH 44118-4619. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mandel, Laurie can be contacted via phone (216) 406-4323.Contact Information
Primary practice address
2503 Rubyvale Rd
University Hts OH 44118-4619
Phone: (216) 406-4323
Fax: (216) 291-9861
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | COA-NP-02671 | Ohio |
Profile Details
| NPI number | 1417040759 |
|---|---|
| LBN Legal business name | Mandel, Laurie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 1st, 2006 |
| Last updated | Oct 8th, 2009 - about 16 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 | 1417040759 | NPPES |
| Ohio | MEDICAID | 2249758 | |
| Ohio | Other | 000000372969 |
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