Mitchem, Althea Marie

Mitchem, Althea Marie is an individual health care provider with primary practice located at 642 W Dewey Ave , Youngstown OH 44511-1708. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Mitchem, Althea Marie can be contacted via phone (330) 783-9529.

Contact Information

Primary practice address
642 W Dewey Ave Youngstown OH 44511-1708
Phone: (330) 783-9529
Fax:
Website:
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Health care specialties

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

Profile Details

NPI number 1396788840
LBN Legal business name Mitchem, Althea Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Jul 8th, 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 1396788840 NPPES
Ohio MEDICAID 2596061

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