Wray, Emily Jestinah

Wray, Emily Jestinah is an sole proprietor health care provider with primary practice located at 7150 State Route 312 , Logan OH 43138-9389. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Wray, Emily Jestinah can be contacted via phone (740) 385-8693.

Contact Information

Primary practice address
7150 State Route 312 Logan OH 43138-9389
Phone: (740) 385-8693
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN095087 Ohio

Profile Details

NPI number 1134263379
LBN Legal business name Wray, Emily Jestinah
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 19th, 2007
Last updated Jul 9th, 2007 - about 19 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 1134263379 NPPES
Ohio MEDICAID 2165259

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