Gerber, Shane Raquel
Gerber, Shane Raquel is an individual health care provider with primary practice located at 140 Fox Rd Ste 201 , Van Wert OH 45891-2492. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology. Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology is her primary health care specialty. Gerber, Shane Raquel can be contacted via phone (419) 238-3047.Contact Information
Primary practice address
140 Fox Rd Ste 201
Van Wert OH 45891-2492
Phone: (419) 238-3047
Fax: (419) 238-3052
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 06091 | Ohio |
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology | 363LX0001X | NP06091 | Ohio |
Profile Details
NPI number | 1548309503 |
---|---|
LBN Legal business name | Gerber, Shane Raquel |
Credentials | Certified Nurse Practitioner (CNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 6th, 2007 |
Last updated | Mar 25th, 2024 - about 6 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1548309503 | NPPES |
Ohio | MEDICAID | 2255901 |
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