Smith, Shane
Smith, Shane is an individual health care provider with primary practice located at 3130 N County Road 25A , Troy OH 45373-1337. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Smith, Shane can be contacted via phone (937) 440-4800.Contact Information
Primary practice address
3130 N County Road 25A
Troy OH 45373-1337
Phone: (937) 440-4800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 35.084777 | Ohio |
Profile Details
| NPI number | 1962603019 |
|---|---|
| LBN Legal business name | Smith, Shane |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 29th, 2007 |
| Last updated | Jun 5th, 2024 - about 5 months 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 | 1962603019 | NPPES |
| Ohio | MEDICAID | 2767635 |
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