Short, Jessica
Short, Jessica is an sole proprietor health care provider with primary practice located at 8355 Burns Ave , Cincinnati OH 45216. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Short, Jessica can be contacted via phone (513) 607-2353.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X | 401778900815 | Ohio |
Profile Details
| NPI number | 1184079501 |
|---|---|
| LBN Legal business name | Short, Jessica |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 4th, 2016 |
| Last updated | May 4th, 2016 - about 10 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 | 1184079501 | NPPES |
| Ohio | Other | 0154673 | MEDICAID PROVIDER |
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