Mcculley, Vivian

Mcculley, Vivian is an sole proprietor health care provider with primary practice located at 695 Birch Ave , Euclid OH 44132-2142. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Mcculley, Vivian can be contacted via phone (216) 780-0946.

Contact Information

Primary practice address
695 Birch Ave Euclid OH 44132-2142
Fax:
Website:

Health care specialties

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

Profile Details

NPI number 1427460500
LBN Legal business name Mcculley, Vivian
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2014
Last updated May 23rd, 2014 - about 11 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 1427460500 NPPES
Ohio MEDICAID 10436833800

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