Burkhart, Shannon

Burkhart, Shannon is an individual health care provider with primary practice located at 909 E 2Nd St , Franklin OH 45005-1700. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Burkhart, Shannon can be contacted via phone (937) 746-8357.

Contact Information

Primary practice address
909 E 2Nd St Franklin OH 45005-1700
Phone: (937) 746-8357
Fax: (937) 746-1992
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN.CNP.019907 Ohio

Profile Details

NPI number 1972053627
LBN Legal business name Burkhart, Shannon
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2016
Last updated Jan 28th, 2021 - about 4 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 1972053627 NPPES
Ohio MEDICAID 0191655

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