Shi, Yan

Shi, Yan is an individual health care provider with primary practice located at 11100 Euclid Ave , Cleveland OH 44106-1716. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Shi, Yan can be contacted via phone (168) 443-0152.

Contact Information

Primary practice address
11100 Euclid Ave Cleveland OH 44106-1716
Phone: (168) 443-0152
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 35.140369 Ohio

Profile Details

NPI number 1194001503
LBN Legal business name Shi, Yan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2011
Last updated Apr 21st, 2021 - about 3 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 1194001503 NPPES
Ohio Other 35.140369 OHIO MEDICAL BOARD
Ohio Other 557792 OHIO MEDICAL BOARD
Ohio Other BP10039781 OHIO MEDICAL BOARD

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