Shirley, Edwin R
Shirley, Edwin R is an individual health care provider with primary practice located at 10524 Euclid Ave Fl 12 , Cleveland OH 44106-2205. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Shirley, Edwin R can be contacted via phone (216) 844-2400.Contact Information
Primary practice address
10524 Euclid Ave Fl 12
Cleveland OH 44106-2205
Phone: (216) 844-2400
Fax: (216) 844-2877
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 5288 | Ohio |
Profile Details
| NPI number | 1376563650 |
|---|---|
| LBN Legal business name | Shirley, Edwin R |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2006 |
| Last updated | Jan 6th, 2021 - about 4 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 | 1376563650 | NPPES |
| Ohio | Other | 000000224328 | UNISON |
| Ohio | MEDICAID | 2126425 | UNISON |
| Ohio | Other | 364008 | UNISON |
| Ohio | Other | 000000532989 | UNISON |
| Ohio | Other | 620006108 | UNISON |
| Ohio | Other | 7310626 | UNISON |
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