Shaker, Chandra R.

Shaker, Chandra R. is an individual health care provider with primary practice located at 120 Sturges Ave Ste 1 , Mansfield OH 44903-2399. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Shaker, Chandra R. can be contacted via phone (419) 522-5454.

Contact Information

Primary practice address
120 Sturges Ave Ste 1 Mansfield OH 44903-2399
Phone: (419) 522-5454
Fax: (419) 522-2981
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35042404S Ohio

Profile Details

NPI number 1497892061
LBN Legal business name Shaker, Chandra R.
Credentials M.D., F.A.A.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2007
Last updated Dec 19th, 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 1497892061 NPPES
Ohio MEDICAID 0370781

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