Gorman, Shannon Marie

Gorman, Shannon Marie is an individual health care provider with primary practice located at 3801 Brendan Lane C4, North Olmsted OH 44070. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Gorman, Shannon Marie can be contacted via phone (440) 734-4163.

Contact Information

Primary practice address
3801 Brendan Lane C4 North Olmsted OH 44070
Phone: (440) 734-4163
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1568597870
LBN Legal business name Gorman, Shannon Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568597870 NPPES
Ohio MEDICAID 2074777

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