Shadel, Martha J

Shadel, Martha J is an individual health care provider with primary practice located at 7300 Canton Center Dr (Emergency Dept), Canton MI 48187-1579. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Shadel, Martha J can be contacted via phone (734) 454-8002.

Contact Information

Primary practice address
7300 Canton Center Dr (Emergency Dept) Canton MI 48187-1579
Phone: (734) 454-8002
Fax: (734) 454-8161
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 5101011186 Michigan

Profile Details

NPI number 1750399655
LBN Legal business name Shadel, Martha J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Jun 13th, 2013 - about 13 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 1750399655 NPPES
Other 11288428 CAQH

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