Odom-Mack, Shalanda M
Odom-Mack, Shalanda M is an sole proprietor health care provider with primary practice located at 11305 Keppler Ct , Cleveland OH 44105-6242. She recently has only one registered license in Nursing Service Related Providers / Nurse's Aide, which is considered as her primary health care specialty. Odom-Mack, Shalanda M can be contacted via phone (216) 801-2700.Contact Information
Primary practice address
11305 Keppler Ct
Cleveland OH 44105-6242
Phone: (216) 801-2700
Fax: (216) 801-2700
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Nurse's Aide | 376K00000X | 376939251197 | Ohio |
Profile Details
| NPI number | 1336351634 |
|---|---|
| LBN Legal business name | Odom-Mack, Shalanda M |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 7th, 2007 |
| Last updated | May 23rd, 2014 - about 12 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 | 1336351634 | NPPES |
| Ohio | MEDICAID | 2365435 |
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