Acevedo, Georgia

Acevedo, Georgia is an individual health care provider with primary practice located at 20600 Chagrin Blvd , Shaker Heights OH 44122-5327. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Acevedo, Georgia can be contacted via phone (216) 970-8150.

Contact Information

Primary practice address
20600 Chagrin Blvd Shaker Heights OH 44122-5327
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X Ohio

Profile Details

NPI number 1962943266
LBN Legal business name Acevedo, Georgia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2017
Last updated Mar 20th, 2017 - about 9 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 1962943266 NPPES
Ohio MEDICAID 00000000000000000000

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