Shackelford, Howard L
Shackelford, Howard L is an individual health care provider with primary practice located at 46150 National Rd W , Saint Clairsville OH 43950-8715. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Shackelford, Howard L can be contacted via phone (740) 695-2443.Contact Information
Primary practice address
46150 National Rd W
Saint Clairsville OH 43950-8715
Phone: (740) 695-2443
Fax: (304) 233-6073
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 11190 | West Virginia |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 35042925 | Ohio |
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | 11190 | West Virginia |
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | 35042925 | Ohio |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 11190 | West Virginia |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 35042925 | Ohio |
Profile Details
| NPI number | 1750431094 |
|---|---|
| LBN Legal business name | Shackelford, Howard L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2007 |
| Last updated | Apr 21st, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750431094 | NPPES |
| Ohio | MEDICAID | 0517748 | |
| Ohio | MEDICAID | 0129426000 |
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