R. Mark Shivers Sole Mbr

LBN: Shivers Medical Services Limited
R. Mark Shivers Sole Mbr is an health care organization with primary practice located at 214 Woodside Drive , Salem OH 44460-7688. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Shivers Medical Services Limited can be contacted via phone (330) 614-8411, or through Shivers, Richard Mark via phone (330) 614-8411.

Contact Information

Primary practice address
214 Woodside Drive Salem OH 44460-7688
Phone: (330) 614-8411
Fax: (330) 244-8521
Website:
Map and Directions
Authorized official contact:
Name: Shivers, Richard Mark Doctor of Medicine (MD)
Phone: (330) 614-8411

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1679239727
LBN Legal business name Shivers Medical Services Limited
DBA Doing business as R. Mark Shivers Sole Mbr
Authorized official Shivers, Richard Mark Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 12th, 2021
Last updated Nov 16th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679239727 NPPES
Ohio MEDICAID 0975995

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