Mitzel, Judy Arlene

Mitzel, Judy Arlene is an sole proprietor health care provider with primary practice located at 1051 Montero Rd Ne , Carrollton OH 44615-9165. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Mitzel, Judy Arlene can be contacted via phone (330) 738-5110.

Contact Information

Primary practice address
1051 Montero Rd Ne Carrollton OH 44615-9165
Phone: (330) 738-5110
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN.081426 MEDS Ohio

Profile Details

NPI number 1386894111
LBN Legal business name Mitzel, Judy Arlene
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 29th, 2008
Last updated Sep 29th, 2008 - 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 1386894111 NPPES
Ohio MEDICAID 2661043

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