Shivapour, Jill Kathryn Lyon

Shivapour, Jill Kathryn Lyon is an individual health care provider with primary practice located at 11100 Euclid Ave , Cleveland OH 44106-1716. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Cardiology is her primary health care specialty. Shivapour, Jill Kathryn Lyon can be contacted via phone (216) 844-7700.

Contact Information

Primary practice address
11100 Euclid Ave Cleveland OH 44106-1716
Phone: (216) 844-7700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 240046 Massachusetts
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 35-121869 Ohio

Profile Details

NPI number 1831308576
LBN Legal business name Shivapour, Jill Kathryn Lyon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2007
Last updated Sep 26th, 2013 - about 13 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 1831308576 NPPES
Ohio MEDICAID 0088060

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