Willis, Earlene Fay
Willis, Earlene Fay is an sole proprietor health care provider with primary practice located at 713 Waycross Rd Apt A , Cincinnati OH 45240-3288. She recently has only one registered license in Agencies / Home Health, which is considered as her primary health care specialty. Willis, Earlene Fay can be contacted via phone (513) 557-1048.Contact Information
Primary practice address
713 Waycross Rd Apt A
Cincinnati OH 45240-3288
Phone: (513) 557-1048
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Home Health | 251E00000X | 104497001 | Ohio |
Profile Details
| NPI number | 1619415742 |
|---|---|
| LBN Legal business name | Willis, Earlene Fay |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 9th, 2017 |
| Last updated | Feb 9th, 2017 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619415742 | NPPES |
| Ohio | MEDICAID | 2654908 |
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