Shado, Jonathan
Shado, Jonathan is an sole proprietor health care provider with primary practice located at 5866 Albany Trce , Westerville OH 43081-8890. He recently has only one registered license in Nursing Service Related Providers / Nurse's Aide, which is considered as his primary health care specialty. Shado, Jonathan can be contacted via phone (614) 772-7012.Contact Information
Primary practice address
5866 Albany Trce
Westerville OH 43081-8890
Phone: (614) 772-7012
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Nurse's Aide | 376K00000X | 401229350411 | Ohio |
Profile Details
| NPI number | 1659776961 |
|---|---|
| LBN Legal business name | Shado, Jonathan |
| Credentials | STNA. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 29th, 2014 |
| Last updated | Oct 29th, 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 | 1659776961 | NPPES |
| Ohio | MEDICAID | 3151664 |
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