O'Shaughnessy, Charles David

O'Shaughnessy, Charles David is an individual health care provider with primary practice located at 125 E Broad St Suite 305, Elyria OH 44035-6400. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. O'Shaughnessy, Charles David can be contacted via phone (440) 414-9100.

Contact Information

Primary practice address
125 E Broad St Suite 305 Elyria OH 44035-6400
Phone: (440) 414-9100
Fax: (216) 201-5578
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 35040861 Ohio
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 35040861 Ohio

Profile Details

NPI number 1831178003
LBN Legal business name O'Shaughnessy, Charles David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2006
Last updated Jan 7th, 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 1831178003 NPPES
Ohio Other 341221800067 CARESOURCE
Ohio Other 060013316 CARESOURCE
Ohio Other E40861 CARESOURCE
Ohio MEDICAID 0454244 CARESOURCE
Ohio Other 100408 CARESOURCE
Ohio Other 000000128711 CARESOURCE

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