Provider Demographics
NPI:1811409105
Name:ERMAN, RICHARD SHANE (RN)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:SHANE
Last Name:ERMAN
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:932 ORANGE ST
Mailing Address - Street 2:
Mailing Address - City:COSHOCTON
Mailing Address - State:OH
Mailing Address - Zip Code:43812-2167
Mailing Address - Country:US
Mailing Address - Phone:330-763-0738
Mailing Address - Fax:
Practice Address - Street 1:590 CALDERSBURGH ST
Practice Address - Street 2:
Practice Address - City:COSHOCTON
Practice Address - State:OH
Practice Address - Zip Code:43812-1000
Practice Address - Country:US
Practice Address - Phone:740-294-9972
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-26
Last Update Date:2017-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN272321163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health