Shanklin, Joel L

Shanklin, Joel L is an individual health care provider with primary practice located at 825 W Market St Ste 260 , Lima OH 45805-2745. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Shanklin, Joel L can be contacted via phone (419) 996-5208.

Contact Information

Primary practice address
825 W Market St Ste 260 Lima OH 45805-2745
Phone: (419) 996-5208
Fax: (419) 996-5209
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 35137549 Ohio
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 48571 Georgia

Profile Details

NPI number 1851398580
LBN Legal business name Shanklin, Joel L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Oct 17th, 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 1851398580 NPPES
South Carolina MEDICAID G48571
South Carolina MEDICAID 300044892A

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