Shockley, Thomas E

Shockley, Thomas E is an individual health care provider with primary practice located at 4600 Smith Rd Suite B, Norwood OH 45212-2793. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Shockley, Thomas E can be contacted via phone (513) 221-4848.

Contact Information

Primary practice address
4600 Smith Rd Suite B Norwood OH 45212-2793
Phone: (513) 221-4848
Fax: (513) 872-7825
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 35064461 Ohio
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X 35064461 Ohio
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 35064461 Ohio

Profile Details

NPI number 1831172568
LBN Legal business name Shockley, Thomas E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2005
Last updated Oct 19th, 2017 - about 7 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 1831172568 NPPES
Ohio MEDICAID 200018244

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