Prim, Mary

Prim, Mary is an sole proprietor health care provider with primary practice located at 3838 E 146Th St , Cleveland OH 44128-1021. She recently has 3 registered licenses in different health care specialties including Nursing Service Related Providers / Nurse's Aide, Nursing Service Related Providers / Home Health Aide, Agencies / Nursing Care. Nursing Service Related Providers / Home Health Aide is her primary health care specialty. Prim, Mary can be contacted via phone (216) 296-0179.

Contact Information

Primary practice address
3838 E 146Th St Cleveland OH 44128-1021
Phone: (216) 296-0179
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nurse's Aide 376K00000X 601913700723 Ohio
Nursing Service Related Providers / Home Health Aide 374U00000X 0081238 Ohio
Agencies / Nursing Care 251J00000X

Profile Details

NPI number 1720494289
LBN Legal business name Prim, Mary
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2014
Last updated Jul 27th, 2023 - about last year

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 1720494289 NPPES
Ohio MEDICAID 0081238
Ohio Other 601913700723

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