Chambers, Kelli Suzanne
Chambers, Kelli Suzanne is an sole proprietor health care provider with primary practice located at 10171 Johnnycake Ridge Rd , Concord Twp OH 44077-2163. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Chambers, Kelli Suzanne can be contacted via phone (440) 521-6109.Contact Information
Primary practice address
10171 Johnnycake Ridge Rd
Concord Twp OH 44077-2163
Phone: (440) 521-6109
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Home Health Aide | 374U00000X | 3650345 | Ohio |
Profile Details
| NPI number | 1972069409 |
|---|---|
| LBN Legal business name | Chambers, Kelli Suzanne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 20th, 2019 |
| Last updated | Feb 20th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972069409 | NPPES |
| Ohio | MEDICAID | 4302507 |
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