Myadze, Iveren

Myadze, Iveren is an sole proprietor health care provider with primary practice located at 7300 Charlesworth Dr , Huber Heights OH 45424-3256. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Homemaker, Nursing Service Related Providers / Personal Care Attendant. Nursing Service Related Providers / Personal Care Attendant is her primary health care specialty. Myadze, Iveren can be contacted via phone (937) 607-8845.

Contact Information

Primary practice address
7300 Charlesworth Dr Huber Heights OH 45424-3256
Phone: (937) 607-8845
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Homemaker 376J00000X
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1972106862
LBN Legal business name Myadze, Iveren
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 21st, 2020
Last updated Nov 21st, 2020 - about 6 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 1972106862 NPPES
Ohio MEDICAID 2414686

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