Southard, Patrice Anette
Southard, Patrice Anette is an sole proprietor health care provider with primary practice located at 55 N High St , New Albany OH 43054-7099. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Southard, Patrice Anette can be contacted via phone (614) 855-4878.Contact Information
Primary practice address
55 N High St
New Albany OH 43054-7099
Phone: (614) 855-4878
Fax: (614) 855-4813
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APRNCNP020175 | Ohio |
Profile Details
| NPI number | 1336265040 |
|---|---|
| LBN Legal business name | Southard, Patrice Anette |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 22nd, 2007 |
| Last updated | Apr 11th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336265040 | NPPES |
| Ohio | MEDICAID | 2666799 |
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