Holman, Shannon Lea
Holman, Shannon Lea is an individual health care provider with primary practice located at 5900 Meadow Creek Dr , Milford OH 45150-5641. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Holman, Shannon Lea can be contacted via phone (513) 248-1655.Contact Information
Primary practice address
5900 Meadow Creek Dr
Milford OH 45150-5641
Phone: (513) 248-1655
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT 004032 | Ohio |
Profile Details
| NPI number | 1083811202 |
|---|---|
| LBN Legal business name | Holman, Shannon Lea |
| Credentials | OTRL MED |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 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 | 1083811202 | NPPES |
| Ohio | MEDICAID | 0616533 |
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