Shupert, Danetta J

Shupert, Danetta J is an sole proprietor health care provider with primary practice located at 71 Over Dr , West Union OH 45693-9203. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Shupert, Danetta J can be contacted via phone (937) 544-2606.

Contact Information

Primary practice address
71 Over Dr West Union OH 45693-9203
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X 2929424 Ohio

Profile Details

NPI number 1144459041
LBN Legal business name Shupert, Danetta J
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2009
Last updated Jul 13th, 2009 - about 15 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 1144459041 NPPES
Ohio MEDICAID 2929424

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