Jefferson, Kisha
Jefferson, Kisha is an sole proprietor health care provider with primary practice located at 3788 W 130Th St , Cleveland OH 44111-3319. She recently has only one registered license in Agencies / Home Health, which is considered as her primary health care specialty. Jefferson, Kisha can be contacted via phone (216) 801-9227.Contact Information
Primary practice address
3788 W 130Th St
Cleveland OH 44111-3319
Phone: (216) 801-9227
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Home Health | 251E00000X | 322541220114 | Ohio |
Profile Details
| NPI number | 1104352657 |
|---|---|
| LBN Legal business name | Jefferson, Kisha |
| Credentials | STNA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 3rd, 2017 |
| Last updated | May 3rd, 2017 - about 9 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 | 1104352657 | NPPES |
| Ohio | MEDICAID | 322541220114 |
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