Peters, Agatha

Peters, Agatha is an sole proprietor health care provider with primary practice located at 5331 Boehm Dr Apt A , Fairfield OH 45014-7706. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Peters, Agatha can be contacted via phone (513) 829-7297.

Contact Information

Primary practice address
5331 Boehm Dr Apt A Fairfield OH 45014-7706
Fax:
Website:

Health care specialties

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

Profile Details

NPI number 1891912317
LBN Legal business name Peters, Agatha
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 18th, 2007
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 1891912317 NPPES
Ohio MEDICAID 2366247

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