Fouts, Shelley Lynn

Fouts, Shelley Lynn is an individual health care provider with primary practice located at 5998 Rudy Rd , Tipp City OH 45371-8421. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Fouts, Shelley Lynn can be contacted via phone (937) 559-5051.

Contact Information

Primary practice address
5998 Rudy Rd Tipp City OH 45371-8421
Phone: (937) 559-5051
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN231491 Ohio

Profile Details

NPI number 1508081852
LBN Legal business name Fouts, Shelley Lynn
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2007
Last updated Jul 9th, 2007 - about 18 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 1508081852 NPPES
Ohio MEDICAID 2191515

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