Shall, Stephen Mark
Shall, Stephen Mark is an individual health care provider with primary practice located at 5690 Monroe St , Sylvania OH 43560-2736. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Shall, Stephen Mark can be contacted via phone (419) 479-3939.Contact Information
Primary practice address
5690 Monroe St
Sylvania OH 43560-2736
Phone: (419) 479-3939
Fax: (419) 479-3933
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 16634 | Ohio |
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 30.016634 | Ohio |
Profile Details
NPI number | 1215932504 |
---|---|
LBN Legal business name | Shall, Stephen Mark |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 15th, 2005 |
Last updated | Aug 1st, 2019 - about 5 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 | 1215932504 | NPPES |
Ohio | MEDICAID | 0515599 |
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