Dulemba, Shane E

Dulemba, Shane E is an individual health care provider with primary practice located at 7777 Yankee Rd Psychiatry - Liberty Campus Ml 16066, Liberty Township OH 45044-3500. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Dulemba, Shane E can be contacted via phone (513) 803-9600.

Contact Information

Primary practice address
7777 Yankee Rd Psychiatry - Liberty Campus Ml 16066 Liberty Township OH 45044-3500
Phone: (513) 803-9600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X COA.15031-NP Ohio

Profile Details

NPI number 1144299843
LBN Legal business name Dulemba, Shane E
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated Sep 5th, 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 1144299843 NPPES
Indiana MEDICAID 200532390A

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