Moultry, Ebony Nicole

Moultry, Ebony Nicole is an sole proprietor health care provider with primary practice located at 3363 E 123Rd St Apt. Down, Cleveland OH 44120-3851. She recently has only one registered license in Nursing Service Related Providers / Nurse's Aide, which is considered as her primary health care specialty. Moultry, Ebony Nicole can be contacted via phone (216) 659-9638.

Contact Information

Primary practice address
3363 E 123Rd St Apt. Down Cleveland OH 44120-3851
Phone: (216) 659-9638
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nurse's Aide 376K00000X 401399400612 Ohio

Profile Details

NPI number 1235482720
LBN Legal business name Moultry, Ebony Nicole
Credentials STNA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 21st, 2012
Last updated Oct 21st, 2012 - about 14 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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