Shagovac, Bruce
Shagovac, Bruce is an sole proprietor health care provider with primary practice located at 6753 State Rd , Parma OH 44134-4517. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Shagovac, Bruce can be contacted via phone (440) 843-5617.Contact Information
Primary practice address
6753 State Rd
Parma OH 44134-4517
Phone: (440) 843-5617
Fax: (440) 843-5556
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 051027 | Ohio |
Profile Details
| NPI number | 1932583127 |
|---|---|
| LBN Legal business name | Shagovac, Bruce |
| Credentials | LCDC III # 051027 |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 17th, 2015 |
| Last updated | Jul 17th, 2015 - about 9 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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