Shie, Marvin D

Shie, Marvin D is an individual health care provider with primary practice located at 15644 Madison Avenue Suite 107, Lakewood OH 44107-5622. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Shie, Marvin D can be contacted via phone (216) 221-7400.

Contact Information

Primary practice address
15644 Madison Avenue Suite 107 Lakewood OH 44107-5622
Phone: (216) 221-7400
Fax: (216) 221-7950
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 35035105S Ohio
Allopathic & Osteopathic Physicians / Surgery 208600000X 35-035105 Ohio

Profile Details

NPI number 1083699227
LBN Legal business name Shie, Marvin D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Feb 12th, 2010 - about 16 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 1083699227 NPPES
Ohio MEDICAID 0377999
Ohio Other CA4511
Ohio Other 341318336

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