Ewert, Shannon Marie

Ewert, Shannon Marie is an sole proprietor health care provider with primary practice located at 525 Metro Pl N Ste 300 , Dublin OH 43017-5320. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Psychiatric/Mental Health. Nursing Service Providers / Psychiatric/Mental Health is her primary health care specialty. Ewert, Shannon Marie can be contacted via phone (855) 289-1722.

Contact Information

Primary practice address
525 Metro Pl N Ste 300 Dublin OH 43017-5320
Phone: (855) 289-1722
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 420223 Ohio
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X RN.420223 Ohio

Profile Details

NPI number 1376918789
LBN Legal business name Ewert, Shannon Marie
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 10th, 2015
Last updated Feb 9th, 2024 - about 9 months 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 1376918789 NPPES
Ohio MEDICAID 2910854

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