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Contact Information

PASSPORT HEALTH HOLDINGS, LLC
1440 ROCKSIDE RD
SUITE 327
PARMA, OH44134
 Phone: 844-358-8648
 Fax: 877-877-6875
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community Health Worker

172V00000X
 

Public Health & General Preventive Medicine

2083P0901X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for PASSPORT HEALTH HOLDINGS LLC · (Female)

NPI Number 1083175715
Status Active
Credentials
Entity Individual
Enumeration date 03/26/2019
Last updated 02/20/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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