Dulemba, Shane E
Dulemba, Shane E is an individual health care provider with primary practice located at 7777 Yankee Rd Psychiatry - Liberty Campus Ml 16066, Liberty Township OH 45044-3500. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Dulemba, Shane E can be contacted via phone (513) 803-9600.Contact Information
Primary practice address
7777 Yankee Rd Psychiatry - Liberty Campus Ml 16066
Liberty Township OH 45044-3500
Phone: (513) 803-9600
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | COA.15031-NP | Ohio |
Profile Details
NPI number | 1144299843 |
---|---|
LBN Legal business name | Dulemba, Shane E |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 15th, 2006 |
Last updated | Sep 5th, 2014 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1144299843 | NPPES |
Indiana | MEDICAID | 200532390A |
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