Shabazz, Elsie M
Shabazz, Elsie M is an sole proprietor health care provider with primary practice located at 1516 Findlay St , Portsmouth OH 45662-2906. She recently has 3 registered licenses in different health care specialties including Nursing Service Related Providers / Homemaker, Nursing Service Related Providers / Personal Care Attendant, Nursing Service Related Providers / Home Health Aide. Nursing Service Related Providers / Personal Care Attendant is her primary health care specialty. Shabazz, Elsie M can be contacted via phone (740) 352-8872.Contact Information
Primary practice address
1516 Findlay St
Portsmouth OH 45662-2906
Phone: (740) 352-8872
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Related Providers / Homemaker | 376J00000X | ||
Nursing Service Related Providers / Personal Care Attendant | 3747P1801X | ||
Nursing Service Related Providers / Home Health Aide | 374U00000X |
Profile Details
NPI number | 1316659436 |
---|---|
LBN Legal business name | Shabazz, Elsie M |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 20th, 2022 |
Last updated | Dec 20th, 2022 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1316659436 | NPPES |
Ohio | MEDICAID | 76349240 |
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