Shoemaker, Kathy

Shoemaker, Kathy is an sole proprietor health care provider with primary practice located at 10585 Briar Rd , Centerburg OH 43011-8463. She recently has only one registered license in Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities, which is considered as her primary health care specialty. Shoemaker, Kathy can be contacted via phone (740) 272-3592.

Contact Information

Primary practice address
10585 Briar Rd Centerburg OH 43011-8463
Phone: (740) 272-3592
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X

Profile Details

NPI number 1518179480
LBN Legal business name Shoemaker, Kathy
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2007
Last updated Jul 8th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518179480 NPPES
Ohio Other 2100596 PERSONAL CARE AIDE MRDD
Ohio MEDICAID 0124976 PERSONAL CARE AIDE MRDD

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