Koslow, Shana Ruth

Koslow, Shana Ruth is an individual health care provider with primary practice located at 160 N Breiel Blvd , Middletown OH 45042-3806. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Koslow, Shana Ruth can be contacted via phone (513) 941-4999.

Contact Information

Primary practice address
160 N Breiel Blvd Middletown OH 45042-3806
Phone: (513) 941-4999
Fax: (513) 694-0168
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LICDC.162310 Ohio
Behavioral Health & Social Service Providers / Professional 101YP2500X E.2606226 Ohio
Behavioral Health & Social Service Providers / Professional 101YP2500X C.2305052 Ohio

Profile Details

NPI number 1740705896
LBN Legal business name Koslow, Shana Ruth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2017
Last updated Jan 20th, 2026 - about 9 months 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 1740705896 NPPES
Ohio MEDICAID 0267211

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