Matheny, Shane Michael

Matheny, Shane Michael is an individual health care provider with primary practice located at 1010 Refugee Rd Ste 310 , Pickerington OH 43147-9653. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Matheny, Shane Michael can be contacted via phone (614) 788-4390.

Contact Information

Primary practice address
1010 Refugee Rd Ste 310 Pickerington OH 43147-9653
Phone: (614) 788-4390
Fax: (614) 788-4399
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 5101016514 Michigan
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 34.010046 Ohio

Profile Details

NPI number 1831301548
LBN Legal business name Matheny, Shane Michael
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2007
Last updated Sep 14th, 2021 - about 3 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 1831301548 NPPES
Ohio MEDICAID 0051286

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