Provider Demographics
NPI:1710767504
Name:RICE, SHERMAN DEAN (LPN)
Entity Type:Individual
Prefix:
First Name:SHERMAN
Middle Name:DEAN
Last Name:RICE
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3243 SOVEREIGN DR APT 11
Mailing Address - Street 2:
Mailing Address - City:COLERAIN TOWNSHIP
Mailing Address - State:OH
Mailing Address - Zip Code:45251-3112
Mailing Address - Country:US
Mailing Address - Phone:513-835-3896
Mailing Address - Fax:
Practice Address - Street 1:25 WHITNEY DR STE 120
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:OH
Practice Address - Zip Code:45150-8400
Practice Address - Country:US
Practice Address - Phone:513-732-1602
Practice Address - Fax:888-450-1488
Is Sole Proprietor?:No
Enumeration Date:2023-09-29
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLPN.139030-MEDS-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse