Shore, Michael

Shore, Michael is an individual health care provider with primary practice located at 4750 Hempstead Station Dr , Kettering OH 45429-5164. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Shore, Michael can be contacted via phone (800) 875-0136.

Contact Information

Primary practice address
4750 Hempstead Station Dr Kettering OH 45429-5164
Phone: (800) 875-0136
Fax: (937) 619-4150
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X COA.15057-NP Ohio

Profile Details

NPI number 1285068940
LBN Legal business name Shore, Michael
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2013
Last updated Aug 29th, 2013 - about 12 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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