Mckinley, Nicolle Daniele

Mckinley, Nicolle Daniele is an individual health care provider with primary practice located at 5520 Broadview Rd Frnt , Parma OH 44134-1605. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Mckinley, Nicolle Daniele can be contacted via phone (216) 749-6650.

Contact Information

Primary practice address
5520 Broadview Rd Frnt Parma OH 44134-1605
Phone: (216) 749-6650
Fax: (216) 749-1655
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT013113 Ohio

Profile Details

NPI number 1346410917
LBN Legal business name Mckinley, Nicolle Daniele
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2008
Last updated Nov 6th, 2019 - about 6 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 1346410917 NPPES
Ohio MEDICAID 0212058
Ohio Other 12219864

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