Bassoum, Shirley Kaye
Bassoum, Shirley Kaye is an sole proprietor health care provider with primary practice located at 2702 Tylersville Rd Lot 90 , Village Of Indian Springs OH 45015-3304. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Bassoum, Shirley Kaye can be contacted via phone (513) 376-4957.Contact Information
Primary practice address
2702 Tylersville Rd Lot 90
Village Of Indian Springs OH 45015-3304
Phone: (513) 376-4957
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Home Health Aide | 374U00000X |
Profile Details
| NPI number | 1841574308 |
|---|---|
| LBN Legal business name | Bassoum, Shirley Kaye |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 3rd, 2011 |
| Last updated | Oct 3rd, 2011 - about 15 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 | 1841574308 | NPPES |
| Ohio | MEDICAID | 1219 | |
| Ohio | MEDICAID | 2138930 |
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