Mickle, Colette
Mickle, Colette is an sole proprietor health care provider with primary practice located at 650 Graham Rd Ste 101 , Cuyahoga Falls OH 44221-1051. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Mickle, Colette can be contacted via phone (330) 928-0044.Contact Information
Primary practice address
650 Graham Rd Ste 101
Cuyahoga Falls OH 44221-1051
Phone: (330) 928-0044
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | S0023957 | Ohio |
Profile Details
| NPI number | 1285190835 |
|---|---|
| LBN Legal business name | Mickle, Colette |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 19th, 2019 |
| Last updated | Feb 19th, 2019 - about 7 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 | 1285190835 | NPPES |
| Ohio | MEDICAID | S0023957 |
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