James Shackson Md

LBN: James Shackson Md
James Shackson Md is an health care organization with primary practice located at 9525 Kenwood Rd Suite 16-382, Cincinnati OH 45242-6176. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Psychiatry, which is considered as the primary health care specialty. James Shackson Md can be contacted via phone (513) 721-3504, or through Shackson, James via phone (513) 721-3504.

Contact Information

Primary practice address
9525 Kenwood Rd Suite 16-382 Cincinnati OH 45242-6176
Phone: (513) 721-3504
Fax: (513) 345-6281
Website:
Map and Directions
Authorized official contact:
Name: Shackson, James Doctor of Medicine (MD)
Phone: (513) 721-3504

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X 35062208 Ohio

Profile Details

NPI number 1962565408
LBN Legal business name James Shackson Md
DBA Doing business as
Authorized official Shackson, James Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2006
Last updated Jun 10th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962565408 NPPES
Ohio MEDICAID 934725
Ohio Other P00381869
Ohio MEDICAID 200084400B

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