Isreal, Shaurita

Isreal, Shaurita is an individual health care provider with primary practice located at 4464 S Dixie Hwy , Middletown OH 45005-5464. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Isreal, Shaurita can be contacted via phone (513) 649-8008.

Contact Information

Primary practice address
4464 S Dixie Hwy Middletown OH 45005-5464
Phone: (513) 649-8008
Fax: (513) 649-8004
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1306359898
LBN Legal business name Isreal, Shaurita
Credentials CASE MANAGER, QMHS
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2017
Last updated Nov 7th, 2017 - about 9 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 1306359898 NPPES
Ohio Other H130910 PTAN GROUP
Ohio Other 0074946 PTAN GROUP
Ohio Other 01-0693 PTAN GROUP
Ohio Other 074861 PTAN GROUP

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