Stallworth, Latasha Jenee
Stallworth, Latasha Jenee is an sole proprietor health care provider with primary practice located at 4992 Donovan Dr , Garfield Heights OH 44125-2025. She recently has only one registered license in Nursing Service Related Providers / Homemaker, which is considered as her primary health care specialty. Stallworth, Latasha Jenee can be contacted via phone (216) 924-8012.Contact Information
Primary practice address
4992 Donovan Dr
Garfield Heights OH 44125-2025
Phone: (216) 924-8012
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Homemaker | 376J00000X |
Profile Details
| NPI number | 1922755164 |
|---|---|
| LBN Legal business name | Stallworth, Latasha Jenee |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 8th, 2022 |
| Last updated | Mar 8th, 2022 - about 2 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 | 1922755164 | NPPES |
| Ohio | MEDICAID | 0122796 | |
| Ohio | MEDICAID | 1825645 |
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