Willoughby, Dequan

Willoughby, Dequan is an sole proprietor health care provider with primary practice located at 23570 Duffield Rd , Shaker Heights OH 44122-3105. He recently has 5 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Transportation Services / Non-emergency Medical Transport (VAN), Transportation Services / Private Vehicle, Nursing Service Related Providers / Personal Care Attendant, Agencies / Home Health. Agencies / Home Health is his primary health care specialty. Willoughby, Dequan can be contacted via phone (162) 458-4752.

Contact Information

Primary practice address
23570 Duffield Rd Shaker Heights OH 44122-3105
Phone: (162) 458-4752
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X Ohio
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X
Transportation Services / Private Vehicle 347C00000X
Nursing Service Related Providers / Personal Care Attendant 3747P1801X
Agencies / Home Health 251E00000X

Profile Details

NPI number 1639967177
LBN Legal business name Willoughby, Dequan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2025
Last updated Apr 25th, 2025 - about last year

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 1639967177 NPPES
Ohio MEDICAID 1891509154

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