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
Phone: (304) 388-5848
Fax: (304) 388-9654
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1689610651 | NPPES |
Ohio | MEDICAID | 2402475 | |
Ohio | MEDICAID | 1809361000 | |
Ohio | MEDICAID | 64089113 | |
Ohio | Other | P00045010 |
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