Shellito, Robert J

Shellito, Robert J is an sole proprietor health care provider with primary practice located at 1543 E Market St , Warren OH 44483-6639. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Shellito, Robert J can be contacted via phone (330) 392-2700.

Contact Information

Primary practice address
1543 E Market St Warren OH 44483-6639
Phone: (330) 392-2700
Fax: (330) 392-2707
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 36003129S Ohio
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X SC005955 Pennsylvania

Profile Details

NPI number 1821084625
LBN Legal business name Shellito, Robert J
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2005
Last updated Jul 23rd, 2008 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1821084625 NPPES
Ohio MEDICAID 2154163
Ohio MEDICAID 101757359 0002

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