Petty, Michelle Suzanne

Petty, Michelle Suzanne is an sole proprietor health care provider with primary practice located at 95 S Ireland Blvd , Ontario OH 44906-2220. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Petty, Michelle Suzanne can be contacted via phone (863) 677-4472.

Contact Information

Primary practice address
95 S Ireland Blvd Ontario OH 44906-2220
Phone: (863) 677-4472
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 167093 Ohio

Profile Details

NPI number 1801302690
LBN Legal business name Petty, Michelle Suzanne
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 16th, 2017
Last updated Dec 16th, 2017 - about 7 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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