Shively Mizes, Carol S

Shively Mizes, Carol S is an sole proprietor health care provider with primary practice located at 14924 Royal Ridge Ln , North Royalton OH 44133-4864. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Shively Mizes, Carol S can be contacted via phone (440) 749-1864.

Contact Information

Primary practice address
14924 Royal Ridge Ln North Royalton OH 44133-4864
Phone: (440) 749-1864
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X 07300 Ohio

Profile Details

NPI number 1639449903
LBN Legal business name Shively Mizes, Carol S
Credentials MT-BC, NMT FELLOW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2012
Last updated Jan 4th, 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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