Knicely, Elizabeth A

Knicely, Elizabeth A is an individual health care provider with primary practice located at 1303 W Maple St Ste 102 , North Canton OH 44720-2858. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Knicely, Elizabeth A can be contacted via phone (330) 442-2664.

Contact Information

Primary practice address
1303 W Maple St Ste 102 North Canton OH 44720-2858
Phone: (330) 442-2664
Fax: (330) 775-7889
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN.CNP.0030607 Ohio

Profile Details

NPI number 1437800919
LBN Legal business name Knicely, Elizabeth A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2022
Last updated Feb 15th, 2024 - about 2 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 1437800919 NPPES
Ohio MEDICAID 0474456

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