Individual
ERICA KATE SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
605 S HIGHLAND AVE, SIDNEY, OH 45365-2926
(740) 705-4098
Mailing address
605 S HIGHLAND AVE, SIDNEY, OH 45365-2926
(740) 705-4098
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
251E00000X
Home Health Agency
0284181
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0284181
—
OH
Enumeration date
03/19/2020
Last updated
02/16/2023
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