Clevelle, Shauna Marie
Clevelle, Shauna Marie is an sole proprietor health care provider with primary practice located at 209 N Huron Ct , Fairborn OH 45324-2775. She recently has only one registered license in Nursing Service Providers / General Practice, which is considered as her primary health care specialty. Clevelle, Shauna Marie can be contacted via phone (937) 430-6900.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / General Practice | 163WG0000X | RN 382765 | Ohio |
Profile Details
| NPI number | 1730437377 |
|---|---|
| LBN Legal business name | Clevelle, Shauna Marie |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 28th, 2012 |
| Last updated | Nov 21st, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730437377 | NPPES |
| Ohio | Other | 0073636 | ODJFS MEDICAID PROVIDER NUMBER |
| Ohio | Other | 2903415 | ODJFS MEDICAID PROVIDER NUMBER |
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