Wiley, Lolisa Denise

Wiley, Lolisa Denise is an sole proprietor health care provider with primary practice located at 27107 Kingshighway , Warrensville Hts OH 44128. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Wiley, Lolisa Denise can be contacted via phone (216) 751-2840.

Contact Information

Primary practice address
27107 Kingshighway Warrensville Hts OH 44128
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN-098381 Ohio

Profile Details

NPI number 1073737771
LBN Legal business name Wiley, Lolisa Denise
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 12th, 2007
Last updated Jul 8th, 2007 - about 17 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 1073737771 NPPES
Ohio MEDICAID 107420131899

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