Van Rafelghem, Mckenna
Van Rafelghem, Mckenna is an individual health care provider with primary practice located at 6005 Som Center Rd , Willoughby OH 44094-9646. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Van Rafelghem, Mckenna can be contacted via phone (440) 946-7252.Contact Information
Primary practice address
6005 Som Center Rd
Willoughby OH 44094-9646
Phone: (440) 946-7252
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 026653 | Ohio |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APRN.CNP.026653 | Ohio |
Profile Details
| NPI number | 1336766195 |
|---|---|
| LBN Legal business name | Van Rafelghem, Mckenna |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2020 |
| Last updated | Jun 13th, 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 | 1336766195 | NPPES |
| Ohio | Other | APRN.CNP.026653 | APRN.CNP.026653 |
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