Nissen, Kali Michelle

Nissen, Kali Michelle is an individual health care provider with primary practice located at 5156 Whipple Ave Nw , Canton OH 44718-2663. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Nissen, Kali Michelle can be contacted via phone (330) 478-1752.

Contact Information

Primary practice address
5156 Whipple Ave Nw Canton OH 44718-2663
Phone: (330) 478-1752
Fax: (330) 478-1763
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OT-008638 Ohio

Profile Details

NPI number 1407272347
LBN Legal business name Nissen, Kali Michelle
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2014
Last updated Mar 17th, 2014 - about 12 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 1407272347 NPPES
Ohio MEDICAID 3055563

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