Shaw, Charles H
Shaw, Charles H is an sole proprietor health care provider with primary practice located at 370 Cline Avenue , Mansfield OH 44907. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Shaw, Charles H can be contacted via phone (419) 756-8511.Contact Information
Primary practice address
370 Cline Avenue
Mansfield OH 44907
Phone: (419) 756-8511
Fax: (419) 756-8513
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 35-04-5931 | Ohio |
Profile Details
| NPI number | 1982623583 |
|---|---|
| LBN Legal business name | Shaw, Charles H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1982623583 | NPPES |
| Ohio | MEDICAID | 0563840 | |
| Ohio | Other | 000000025568 |
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