Blackmon, Shawntae

Blackmon, Shawntae is an sole proprietor health care provider with primary practice located at 10735 Ravenna Rd Unit 206 , Twinsburg OH 44087-3107. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Blackmon, Shawntae can be contacted via phone (234) 212-1100.

Contact Information

Primary practice address
10735 Ravenna Rd Unit 206 Twinsburg OH 44087-3107
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1285340919
LBN Legal business name Blackmon, Shawntae
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 26th, 2023
Last updated Jan 26th, 2023 - about 2 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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