Shank, M.

Shank, M. is an individual health care provider with primary practice located at 3 Medical Dr , Chillicothe OH 45601-8603. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as his primary health care specialty. Shank, M. can be contacted via phone (740) 779-6612.

Contact Information

Primary practice address
3 Medical Dr Chillicothe OH 45601-8603
Phone: (740) 779-6612
Fax: (740) 779-6617
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 35.057234 Ohio

Profile Details

NPI number 1831273069
LBN Legal business name Shank, M.
Credentials M.D., PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Sep 10th, 2019 - about 7 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 1831273069 NPPES
Ohio MEDICAID 2058053

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