Shore, Vernon R

Shore, Vernon R is an sole proprietor health care provider with primary practice located at 2000 N Dayton Lakeview Rd , New Carlisle OH 45344-8135. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Shore, Vernon R can be contacted via phone (937) 845-1000.

Contact Information

Primary practice address
2000 N Dayton Lakeview Rd New Carlisle OH 45344-8135
Fax: (937) 845-1009
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1006 Ohio

Profile Details

NPI number 1821199795
LBN Legal business name Shore, Vernon R
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2006
Last updated Jul 8th, 2007 - about 17 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 1821199795 NPPES
Ohio Other 31119120500 BWC
Ohio MEDICAID 0522563 BWC

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