Lee, Shannan L

Lee, Shannan L is an sole proprietor health care provider with primary practice located at 860 Garver Rd , Middletown OH 45044-8923. She recently has 3 registered licenses in different health care specialties including Nursing Service Related Providers / Homemaker, Respite Care Facility / Respite Care, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities. Nursing Service Related Providers / Homemaker is her primary health care specialty. Lee, Shannan L can be contacted via phone (513) 435-2716.

Contact Information

Primary practice address
860 Garver Rd Middletown OH 45044-8923
Phone: (513) 435-2716
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Homemaker 376J00000X Ohio
Respite Care Facility / Respite Care 385H00000X Ohio
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X Ohio
Nursing Service Related Providers / Homemaker 376J00000X 0906797 Ohio

Profile Details

NPI number 1053914374
LBN Legal business name Lee, Shannan L
Credentials INDEPENDENT PROVIDER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 19th, 2020
Last updated Jan 18th, 2024 - about 10 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 1053914374 NPPES
Ohio MEDICAID 0387419

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