Shadley, Pamela Kaye
Shadley, Pamela Kaye is an sole proprietor health care provider with primary practice located at 30 E Apple St Ste 5254A , Dayton OH 45409-2939. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neuroscience, which is considered as her primary health care specialty. Shadley, Pamela Kaye can be contacted via phone (937) 208-4200.Contact Information
Primary practice address
30 E Apple St Ste 5254A
Dayton OH 45409-2939
Phone: (937) 208-4200
Fax: (937) 208-4205
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Neuroscience | 364SN0800X | APRN.CNS.02175 | Ohio |
Profile Details
| NPI number | 1801009485 |
|---|---|
| LBN Legal business name | Shadley, Pamela Kaye |
| Credentials | Clinical Nurse Specialist (CNS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 8th, 2007 |
| Last updated | Oct 30th, 2018 - about 6 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 | 1801009485 | NPPES |
| Ohio | MEDICAID | 0095580 |
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