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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336766195 NPPES
Ohio Other APRN.CNP.026653 APRN.CNP.026653

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