Short, Lawan

Short, Lawan is an individual health care provider with primary practice located at 48 Metric Dr , Tallmadge OH 44278-2337. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Short, Lawan can be contacted via phone (330) 615-7634.

Contact Information

Primary practice address
48 Metric Dr Tallmadge OH 44278-2337
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1821478207
LBN Legal business name Short, Lawan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2015
Last updated Jun 1st, 2015 - about 9 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 1821478207 NPPES
Ohio MEDICAID 0094288

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