Bethel, Iceesho

Bethel, Iceesho is an sole proprietor health care provider with primary practice located at 2086 Jodeco Rd # 1674 , Mcdonough GA 30253-5220. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatric Care, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Home Health. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatric Care is her primary health care specialty. Bethel, Iceesho can be contacted via phone (678) 763-9797.

Contact Information

Primary practice address
2086 Jodeco Rd # 1674 Mcdonough GA 30253-5220
Phone: (678) 763-9797
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatric Care 2278G0305X 7058 Georgia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Home Health 2278H0200X 7058 Georgia

Profile Details

NPI number 1619227576
LBN Legal business name Bethel, Iceesho
Credentials Registered Respiratory Therapist (RRT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 18th, 2012
Last updated Mar 23rd, 2026 - about 7 months 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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