Mccormick, Shelley A

Mccormick, Shelley A is an sole proprietor health care provider with primary practice located at 112 E Stewart Ave , West Lafayette OH 43845-1047. She recently has 3 registered licenses in different health care specialties including Nursing Service Related Providers / Home Health Aide, Nursing Service Related Providers / Homemaker, Nursing Service Related Providers / Nurse's Aide. Nursing Service Related Providers / Home Health Aide is her primary health care specialty. Mccormick, Shelley A can be contacted via phone (740) 545-6821.

Contact Information

Primary practice address
112 E Stewart Ave West Lafayette OH 43845-1047
Phone: (740) 545-6821
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X
Nursing Service Related Providers / Homemaker 376J00000X
Nursing Service Related Providers / Nurse's Aide 376K00000X 401331591211 Ohio

Profile Details

NPI number 1962831172
LBN Legal business name Mccormick, Shelley A
Credentials STNA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 7th, 2013
Last updated Nov 7th, 2013 - about 11 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 1962831172 NPPES
Ohio MEDICAID 0078766
Ohio Other 1601145

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