Story, Theodore Allen
Story, Theodore Allen is an sole proprietor health care provider with primary practice located at 3633 Metzger Hill Rd Sw , Port Washington OH 43837-9269. He recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as his primary health care specialty. Story, Theodore Allen can be contacted via phone (330) 204-3016.Contact Information
Primary practice address
3633 Metzger Hill Rd Sw
Port Washington OH 43837-9269
Phone: (330) 204-3016
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Home Health Aide | 374U00000X |
Profile Details
| NPI number | 1518554211 |
|---|---|
| LBN Legal business name | Story, Theodore Allen |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 29th, 2020 |
| Last updated | Dec 29th, 2020 - about 5 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 | 1518554211 | NPPES |
| Ohio | MEDICAID | 3143137 |
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