Provider Demographics
NPI:1407514524
Name:SHUSNER, ALAN Z
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:Z
Last Name:SHUSNER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2324 PARK AVE UNIT 38
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45206-2754
Mailing Address - Country:US
Mailing Address - Phone:513-658-7238
Mailing Address - Fax:
Practice Address - Street 1:2324 PARK AVE UNIT 38
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45206-2754
Practice Address - Country:US
Practice Address - Phone:513-658-7238
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-06
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHTK264658OtherSTATE OF OHIO