Burton, Roger Shane

Burton, Roger Shane is an sole proprietor health care provider with primary practice located at 3926 Shank Road , Hamilton OH 45013. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Burton, Roger Shane can be contacted via phone (513) 892-3092.

Contact Information

Primary practice address
3926 Shank Road Hamilton OH 45013
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1629487210
LBN Legal business name Burton, Roger Shane
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 7th, 2014
Last updated Aug 7th, 2014 - about 12 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 1629487210 NPPES
Ohio Other 2829461 INDEPENDANT PROVIDER

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