Shah, Jennifer A
Shah, Jennifer A is an sole proprietor health care provider with primary practice located at 6981 Breckenwood Dr , Dayton OH 45424-7326. She recently has only one registered license in Nursing Service Providers / Home Health, which is considered as her primary health care specialty. Shah, Jennifer A can be contacted via phone (937) 602-1636.Contact Information
Primary practice address
6981 Breckenwood Dr
Dayton OH 45424-7326
Phone: (937) 602-1636
Fax: (937) 528-2156
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Home Health | 163WH0200X | RN-231005 | Ohio |
Profile Details
| NPI number | 1467673889 |
|---|---|
| LBN Legal business name | Shah, Jennifer A |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 2nd, 2007 |
| Last updated | Feb 28th, 2022 - 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 | 1467673889 | NPPES |
| Ohio | MEDICAID | 2644133 |
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