Anderson, Debra A

Anderson, Debra A is an individual health care provider with primary practice located at 1341 Market Ave N , Canton OH 44714-2605. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Anderson, Debra A can be contacted via phone (330) 453-8252.

Contact Information

Primary practice address
1341 Market Ave N Canton OH 44714-2605
Phone: (330) 453-8252
Fax: (330) 452-4655
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X LPN.123512.MEDS Ohio

Profile Details

NPI number 1760991210
LBN Legal business name Anderson, Debra A
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2017
Last updated Jan 4th, 2023 - about 3 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 1760991210 NPPES
Ohio MEDICAID 0244205

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