Driskell, Eddie

Driskell, Eddie is an individual health care provider with primary practice located at 1960 E County Line Rd Bldg 6B , Mineral Ridge OH 44440-9408. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Driskell, Eddie can be contacted via phone (330) 596-1042.

Contact Information

Primary practice address
1960 E County Line Rd Bldg 6B Mineral Ridge OH 44440-9408
Phone: (330) 596-1042
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X Ohio

Profile Details

NPI number 1255904561
LBN Legal business name Driskell, Eddie
Credentials ASSOCIATES
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2021
Last updated Jul 23rd, 2021 - about 5 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 1255904561 NPPES
Ohio MEDICAID 010684796

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