Shadwick, Steven Alexander
Shadwick, Steven Alexander is an individual health care provider with primary practice located at 1053 Summitt Dr , Middletown OH 45042-3464. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Shadwick, Steven Alexander can be contacted via phone (513) 422-8031.Contact Information
Primary practice address
1053 Summitt Dr
Middletown OH 45042-3464
Phone: (513) 422-8031
Fax: (513) 422-8624
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3753 T645 | Ohio |
Profile Details
| NPI number | 1932281144 |
|---|---|
| LBN Legal business name | Shadwick, Steven Alexander |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2006 |
| Last updated | Apr 23rd, 2009 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932281144 | NPPES |
| Ohio | MEDICAID | 0581562 |
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