Shandy, Dean Woodrow
Shandy, Dean Woodrow is an individual health care provider with primary practice located at 11100 Euclid Ave , Cleveland OH 44106. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Shandy, Dean Woodrow can be contacted via phone (216) 844-3658.Contact Information
Primary practice address
11100 Euclid Ave
Cleveland OH 44106
Phone: (216) 844-3658
Fax: (216) 844-4741
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | OT015224 | Pennsylvania |
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | OS017403 | Pennsylvania |
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 58.030415 | Ohio |
Profile Details
NPI number | 1356786198 |
---|---|
LBN Legal business name | Shandy, Dean Woodrow |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 7th, 2013 |
Last updated | Jun 27th, 2018 - about 7 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 | 1356786198 | NPPES |
Pennsylvania | Other | OS017403 | STATE LICENSE NUMBER |
Pennsylvania | MEDICAID | 103243408 | STATE LICENSE NUMBER |
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