Carrick, Michele Ann

Carrick, Michele Ann is an individual health care provider with primary practice located at 4095 Townline Rd 12 , Willard OH 44890. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Carrick, Michele Ann can be contacted via phone (419) 935-4121.

Contact Information

Primary practice address
4095 Townline Rd 12 Willard OH 44890
Phone: (419) 935-4121
Fax: (419) 935-4121
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN 101407 Ohio

Profile Details

NPI number 1558438812
LBN Legal business name Carrick, Michele Ann
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2006
Last updated Jul 8th, 2007 - about 19 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 1558438812 NPPES
Ohio MEDICAID 2223990

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