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SHELBY AGEE CT NPI 1730692203


NPI Information

NPI: 1730692203
Provider Name: SHELBY AGEE, CT
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
4464 S DIXIE HWY
MIDDLETOWN, OH
ZIP 45005
Phone: (513) 649-8008
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Shelby Agee, CT is a student in an organized health care education training program in Middletown, OH. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Shelby Agee, CT NPI is 1730692203. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4464 S DIXIE HWY
MIDDLETOWN, OH
ZIP 45005-464
Phone: (513) 649-8008
Fax: (513) 649-8004

The enumeration date for this NPI number is 11/7/2017 and was last updated on 11/7/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1390200000XStudent in an Organized Health Care Education/Training ProgramAPP-000114588OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H130910OTHEROHIOPTAN GROUP
20074946OTHEROHIOODMH
30074861OTHEROHIOODADAS
401-0693OTHEROHIOCARF

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.