Fyock, Jacqueline E
Fyock, Jacqueline E is an sole proprietor health care provider with primary practice located at 4777 Canfield Rd , Canfield OH 44406-9350. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Fyock, Jacqueline E can be contacted via phone (330) 793-6429.Contact Information
Primary practice address
4777 Canfield Rd
Canfield OH 44406-9350
Phone: (330) 793-6429
Fax: (330) 793-6429
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Home Health Aide | 374U00000X | 2436233 | Ohio |
Profile Details
| NPI number | 1932318417 |
|---|---|
| LBN Legal business name | Fyock, Jacqueline E |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 22nd, 2007 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932318417 | NPPES |
| Ohio | MEDICAID | 2436233 |
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