Bartlett, Shannon Jo

Bartlett, Shannon Jo is an individual health care provider with primary practice located at 4380 Malsbary Road Suite 175, Cincinnati OH 45242-5644. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bartlett, Shannon Jo can be contacted via phone (513) 272-0261.

Contact Information

Primary practice address
4380 Malsbary Road Suite 175 Cincinnati OH 45242-5644
Phone: (513) 272-0261
Fax: (513) 272-0362
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 50001961 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 50.001961 Ohio

Profile Details

NPI number 1417911140
LBN Legal business name Bartlett, Shannon Jo
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2006
Last updated Oct 18th, 2011 - about 14 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 1417911140 NPPES
Ohio Other P00115908 RAILROAD MEDICARE PIN

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