Hodge, Shannon
Hodge, Shannon is an sole proprietor health care provider with primary practice located at 2052 Princeton Rd , Fairfield Township OH 45011-4746. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Hodge, Shannon can be contacted via phone (513) 805-2315.Contact Information
Primary practice address
2052 Princeton Rd
Fairfield Township OH 45011-4746
Phone: (513) 805-2315
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1407413115 |
|---|---|
| LBN Legal business name | Hodge, Shannon |
| Credentials | Bachelor of Arts (BA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 29th, 2019 |
| Last updated | May 29th, 2019 - about 7 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 | 1407413115 | NPPES |
| Ohio | MEDICAID | 171M00000X |
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