Matlock, Cocoanisha Sheanta

Matlock, Cocoanisha Sheanta is an sole proprietor health care provider with primary practice located at 3100 Starlite Dr Nw , Warren OH 44485-1618. She recently has only one registered license in Nursing Service Related Providers / Nurse's Aide, which is considered as her primary health care specialty. Matlock, Cocoanisha Sheanta can be contacted via phone (216) 371-9858.

Contact Information

Primary practice address
3100 Starlite Dr Nw Warren OH 44485-1618
Phone: (216) 371-9858
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nurse's Aide 376K00000X 501134600606 Ohio

Profile Details

NPI number 1598153819
LBN Legal business name Matlock, Cocoanisha Sheanta
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2015
Last updated Jan 9th, 2015 - about 11 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 1598153819 NPPES
Ohio MEDICAID 3146170

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