Balog, Shannon Marie

Balog, Shannon Marie is an individual health care provider with primary practice located at 18101 Lorain Ave , Cleveland OH 44111-5612. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Balog, Shannon Marie can be contacted via phone (216) 889-6412.

Contact Information

Primary practice address
18101 Lorain Ave Cleveland OH 44111-5612
Phone: (216) 889-6412
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN.CNP.023210 Ohio

Profile Details

NPI number 1982171500
LBN Legal business name Balog, Shannon Marie
Credentials DNP, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2018
Last updated Nov 1st, 2018 - about 7 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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