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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518179480 | NPPES |
| Ohio | Other | 2100596 | PERSONAL CARE AIDE MRDD |
| Ohio | MEDICAID | 0124976 | PERSONAL CARE AIDE MRDD |
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