Shankle, Ellen D

Shankle, Ellen D is an sole proprietor health care provider with primary practice located at 2443 Woodchuck St Ne , Canton OH 44705-3262. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Shankle, Ellen D can be contacted via phone (330) 495-1543.

Contact Information

Primary practice address
2443 Woodchuck St Ne Canton OH 44705-3262
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1952569774
LBN Legal business name Shankle, Ellen D
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 29th, 2008
Last updated May 29th, 2008 - about 16 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 1952569774 NPPES
Ohio MEDICAID 2674879

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