Moore, Jackee Nikita
Moore, Jackee Nikita is an sole proprietor health care provider with primary practice located at 3271 Lodwick Dr Nw Apt 4, Warren OH 44485-1565. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Moore, Jackee Nikita can be contacted via phone (330) 240-8366.Contact Information
Primary practice address
3271 Lodwick Dr Nw Apt 4
Warren OH 44485-1565
Phone: (330) 240-8366
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Home Health Aide | 374U00000X |
Profile Details
| NPI number | 1306233093 |
|---|---|
| LBN Legal business name | Moore, Jackee Nikita |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 20th, 2015 |
| Last updated | Apr 20th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306233093 | NPPES |
| Ohio | MEDICAID | 0115639 |
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