Spillman, Penelope

Spillman, Penelope is an individual health care provider with primary practice located at 1881 Beal Rd , Mansfield OH 44903-9175. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Spillman, Penelope can be contacted via phone (419) 565-1501.

Contact Information

Primary practice address
1881 Beal Rd Mansfield OH 44903-9175
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1053675017
LBN Legal business name Spillman, Penelope
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2012
Last updated Jun 25th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1053675017 NPPES
Ohio MEDICAID 3079654

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