Shackour, Mazin
Shackour, Mazin is an individual health care provider with primary practice located at 1330 Mercy Dr Nw Suite 420, Canton OH 44708-2626. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Shackour, Mazin can be contacted via phone (330) 580-4697.Contact Information
Primary practice address
1330 Mercy Dr Nw Suite 420
Canton OH 44708-2626
Phone: (330) 580-4697
Fax: (330) 588-4698
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 35120787 | Ohio |
Profile Details
| NPI number | 1992980783 |
|---|---|
| LBN Legal business name | Shackour, Mazin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 31st, 2007 |
| Last updated | Apr 7th, 2022 - about 2 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 | 1992980783 | NPPES |
| Ohio | MEDICAID | 0084650 |
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