Conrath, Shelley Nicole
Conrath, Shelley Nicole is an individual health care provider with primary practice located at 495 Richland Ave , Athens OH 45701. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Conrath, Shelley Nicole can be contacted via phone (740) 594-3939.Contact Information
Primary practice address
495 Richland Ave
Athens OH 45701
Phone: (740) 594-3939
Fax: (740) 594-3037
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 20088 | Ohio |
Profile Details
| NPI number | 1235284704 |
|---|---|
| LBN Legal business name | Conrath, Shelley Nicole |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2007 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235284704 | NPPES |
| Ohio | MEDICAID | 0239325 |
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