Mattice Dancer, Michelle M

Mattice Dancer, Michelle M is an sole proprietor health care provider with primary practice located at 11785 Morrison Mikesell Rd , New Paris OH 45347-9214. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Other Service Providers / Midwife. Nursing Service Providers / Registered Nurse is her primary health care specialty. Mattice Dancer, Michelle M can be contacted via phone (937) 437-0444.

Contact Information

Primary practice address
11785 Morrison Mikesell Rd New Paris OH 45347-9214
Phone: (937) 437-0444
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN 270174 Ohio
Nursing Service Providers / Registered Nurse 163W00000X 28136314A Indiana
Other Service Providers / Midwife 176B00000X 09000105A Indiana

Profile Details

NPI number 1215062617
LBN Legal business name Mattice Dancer, Michelle M
Credentials MS, CNM, RN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 23rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215062617 NPPES
Ohio MEDICAID 2703284

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