King, Aleasa Marie

King, Aleasa Marie is an individual health care provider with primary practice located at 550 Trumbull Ave , Cortland OH 44410-9403. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. King, Aleasa Marie can be contacted via phone (330) 637-2000.

Contact Information

Primary practice address
550 Trumbull Ave Cortland OH 44410-9403
Phone: (330) 637-2000
Fax: (330) 637-2001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN372312 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN.CNP.020515 Ohio

Profile Details

NPI number 1154860336
LBN Legal business name King, Aleasa Marie
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2017
Last updated Jul 21st, 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 1154860336 NPPES
Ohio MEDICAID 0212509
Ohio Other 13985516
Ohio Other CS1721200113

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