Shabazz, Juanita

Shabazz, Juanita is an sole proprietor health care provider with primary practice located at 202 E Bagley Rd , Berea OH 44017-2058. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Shabazz, Juanita can be contacted via phone (440) 260-8300.

Contact Information

Primary practice address
202 E Bagley Rd Berea OH 44017-2058
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X LPN.128751.MEDS-IV Ohio

Profile Details

NPI number 1346795218
LBN Legal business name Shabazz, Juanita
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 22nd, 2016
Last updated Aug 22nd, 2016 - about 8 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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