Myadze, Iveren
Myadze, Iveren is an sole proprietor health care provider with primary practice located at 7300 Charlesworth Dr , Huber Heights OH 45424-3256. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Homemaker, Nursing Service Related Providers / Personal Care Attendant. Nursing Service Related Providers / Personal Care Attendant is her primary health care specialty. Myadze, Iveren can be contacted via phone (937) 607-8845.Contact Information
Primary practice address
7300 Charlesworth Dr
Huber Heights OH 45424-3256
Phone: (937) 607-8845
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Related Providers / Homemaker | 376J00000X | ||
Nursing Service Related Providers / Personal Care Attendant | 3747P1801X |
Profile Details
NPI number | 1972106862 |
---|---|
LBN Legal business name | Myadze, Iveren |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 21st, 2020 |
Last updated | Nov 21st, 2020 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1972106862 | NPPES |
Ohio | MEDICAID | 2414686 |
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