Serfling, Shane A

Serfling, Shane A is an individual health care provider with primary practice located at 1120 Polaris Pkwy Suite 100, Columbus OH 43240-4042. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Serfling, Shane A can be contacted via phone (614) 847-1120.

Contact Information

Primary practice address
1120 Polaris Pkwy Suite 100 Columbus OH 43240-4042
Phone: (614) 847-1120
Fax: (614) 847-1205
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 34-008486 Ohio
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036118188 Illinois

Profile Details

NPI number 1497724843
LBN Legal business name Serfling, Shane A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Aug 17th, 2011 - about 15 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 1497724843 NPPES
Illinois Other 36118188 BCBS
Illinois Other P00936461 BCBS
Illinois MEDICAID 0361181882 BCBS
Illinois MEDICAID 2568234 BCBS
Illinois Other 000000209264 BCBS
Illinois Other P00936459 BCBS
Illinois MEDICAID 036118188 BCBS
Illinois Other P00415663 BCBS

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