Shelly, Marion I

Shelly, Marion I is an individual health care provider with primary practice located at 132 Garau Street Bluffton Physicians Inc, Bluffton OH 45817-0069. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Shelly, Marion I can be contacted via phone (419) 358-5916.

Contact Information

Primary practice address
132 Garau Street Bluffton Physicians Inc Bluffton OH 45817-0069
Phone: (419) 358-5916
Fax: (419) 358-2302
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34006706S Ohio
Allopathic & Osteopathic Physicians / General Practice 208D00000X 34006706S Ohio

Profile Details

NPI number 1558429746
LBN Legal business name Shelly, Marion I
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2006
Last updated Jan 27th, 2010 - about 14 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 1558429746 NPPES
Ohio Other 10799230 CAQH
Ohio Other 080142390 CAQH
Ohio MEDICAID 2048797 CAQH
Ohio Other 00000129735 CAQH

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