Brown, Shante Monique

Brown, Shante Monique is an sole proprietor health care provider with primary practice located at 441 Davis Rd , Mansfield OH 44907-1121. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Brown, Shante Monique can be contacted via phone (419) 612-3458.

Contact Information

Primary practice address
441 Davis Rd Mansfield OH 44907-1121
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN 112635 Ohio

Profile Details

NPI number 1659587566
LBN Legal business name Brown, Shante Monique
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2007
Last updated Nov 18th, 2015 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659587566 NPPES
Ohio MEDICAID 2497534

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