Riley, Jillian

Riley, Jillian is an sole proprietor health care provider with primary practice located at 153 Mccadden Ave Ne , Massillon OH 44646-4365. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Riley, Jillian can be contacted via phone (330) 933-6885.

Contact Information

Primary practice address
153 Mccadden Ave Ne Massillon OH 44646-4365
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X 400020560901 Ohio

Profile Details

NPI number 1427489335
LBN Legal business name Riley, Jillian
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 2nd, 2013
Last updated Dec 2nd, 2013 - about 11 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 1427489335 NPPES
Ohio MEDICAID 30-080-2385

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