Ortega, Shaun Michael

Ortega, Shaun Michael is an individual health care provider with primary practice located at 6701 Rockside Rd Suite 103, Independence OH 44131-2358. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Ortega, Shaun Michael can be contacted via phone (216) 369-2800.

Contact Information

Primary practice address
6701 Rockside Rd Suite 103 Independence OH 44131-2358
Phone: (216) 369-2800
Fax: (216) 369-0456
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 50001422 Ohio

Profile Details

NPI number 1710988100
LBN Legal business name Ortega, Shaun Michael
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Oct 12th, 2012 - about 14 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 1710988100 NPPES
Ohio MEDICAID 0069895

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