Provider Demographics
NPI:1124054754
Name:MACMICHAEL, HELEN JEAN (LPN)
Entity type:Individual
Prefix:MS
First Name:HELEN
Middle Name:JEAN
Last Name:MACMICHAEL
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1388 CHERRY LN
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44685-9527
Mailing Address - Country:US
Mailing Address - Phone:330-896-4603
Mailing Address - Fax:330-896-6243
Practice Address - Street 1:1388 CHERRY LN
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:OH
Practice Address - Zip Code:44685-9527
Practice Address - Country:US
Practice Address - Phone:330-896-4603
Practice Address - Fax:330-896-6243
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-24
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN 043533164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2103002Medicaid