Perry, Shameka
Perry, Shameka is an individual health care provider with primary practice located at 5502 Dixie Hwy , Fairfield OH 45014-4297. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Perry, Shameka can be contacted via phone (513) 874-9460.Contact Information
Primary practice address
5502 Dixie Hwy
Fairfield OH 45014-4297
Phone: (513) 874-9460
Fax: (513) 874-5731
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | I.1801020 | Ohio |
Profile Details
| NPI number | 1003267048 |
|---|---|
| LBN Legal business name | Perry, Shameka |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2016 |
| Last updated | Nov 18th, 2019 - about 4 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 | 1003267048 | NPPES |
| Ohio | MEDICAID | 2847496 |
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