Shouldis, Eric D.

Shouldis, Eric D. is an individual health care provider with primary practice located at 3200 Maccorkle Avenue Se Hospitalist Program, Charleston WV 25304. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Shouldis, Eric D. can be contacted via phone (304) 388-5848.

Contact Information

Primary practice address
3200 Maccorkle Avenue Se Hospitalist Program Charleston WV 25304
Fax: (304) 388-9654
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 21144 West Virginia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 21144 West Virginia

Profile Details

NPI number 1689610651
LBN Legal business name Shouldis, Eric D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Mar 18th, 2016 - about 8 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 1689610651 NPPES
Ohio MEDICAID 2402475
Ohio MEDICAID 1809361000
Ohio MEDICAID 64089113
Ohio Other P00045010

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