Carroll, John Shalley

Carroll, John Shalley is an individual health care provider with primary practice located at 609 Ford St , Maumee OH 43537-1947. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Carroll, John Shalley can be contacted via phone (419) 893-5539.

Contact Information

Primary practice address
609 Ford St Maumee OH 43537-1947
Phone: (419) 893-5539
Fax: (419) 893-6853
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 36 001951 Ohio

Profile Details

NPI number 1417956483
LBN Legal business name Carroll, John Shalley
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Feb 12th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417956483 NPPES
Ohio Other 00059 PARAMOUNT
Ohio Other 000000135410 PARAMOUNT
Ohio MEDICAID 0447047 PARAMOUNT

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