Boose, Shirin
Boose, Shirin is an sole proprietor health care provider with primary practice located at 18615 Detroit Ave Suite 103, Lakewood OH 44107. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Boose, Shirin can be contacted via phone (216) 230-4122.Contact Information
Primary practice address
18615 Detroit Ave Suite 103
Lakewood OH 44107
Phone: (216) 230-4122
Fax: (216) 431-4151
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | C.0900656 | Ohio |
Profile Details
NPI number | 1447505060 |
---|---|
LBN Legal business name | Boose, Shirin |
Credentials | Licensed Professional Counselor (LPC) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 19th, 2012 |
Last updated | Jan 22nd, 2024 - about 11 months 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 | 1447505060 | NPPES |
Ohio | MEDICAID | 0158461 |
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