Shie, Scott David
Shie, Scott David is an individual health care provider with primary practice located at 306 E Maumee St Ste 303 , Angola IN 46703-2044. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Shie, Scott David can be contacted via phone (606) 675-1482.Contact Information
Primary practice address
306 E Maumee St Ste 303
Angola IN 46703-2044
Phone: (606) 675-1482
Fax: (260) 667-5689
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 01069915A | Indiana |
Profile Details
| NPI number | 1619167236 |
|---|---|
| LBN Legal business name | Shie, Scott David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 30th, 2007 |
| Last updated | Jul 17th, 2025 - about last year |
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 | 1619167236 | NPPES |
| Ohio | MEDICAID | 3160252 | |
| Ohio | MEDICAID | 201021740 |
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