Edenfield, Michelle Renee

Edenfield, Michelle Renee is an sole proprietor health care provider with primary practice located at 725 Boardman Canfield Rd , Boardman OH 44512-4380. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Edenfield, Michelle Renee can be contacted via phone (330) 783-9690.

Contact Information

Primary practice address
725 Boardman Canfield Rd Boardman OH 44512-4380
Phone: (330) 783-9690
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X PC004468 Pennsylvania
Behavioral Health & Social Service Providers / Professional 101YP2500X E0700204 Ohio

Profile Details

NPI number 1770625550
LBN Legal business name Edenfield, Michelle Renee
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 12th, 2007
Last updated Oct 1st, 2009 - about 17 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 1770625550 NPPES
Other 600057-359 MAGELLAN
Other 1935951 MAGELLAN

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