Cooper, Shari Denise

Cooper, Shari Denise is an sole proprietor health care provider with primary practice located at 4583 Kalida Ave , Dayton OH 45424-5768. She recently has only one registered license in Nursing Service Related Providers / Homemaker, which is considered as her primary health care specialty. Cooper, Shari Denise can be contacted via phone (937) 286-8305.

Contact Information

Primary practice address
4583 Kalida Ave Dayton OH 45424-5768
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Homemaker 376J00000X

Profile Details

NPI number 1063015550
LBN Legal business name Cooper, Shari Denise
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 18th, 2020
Last updated Nov 18th, 2020 - 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 1063015550 NPPES
Ohio Other 3077960 3076960
Ohio MEDICAID 3076960 3076960

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