Stalder, Shawn M

Stalder, Shawn M is an sole proprietor health care provider with primary practice located at 1020 Main St , Hamilton OH 45013. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Suppliers / Eyewear Supplier (Equipment, not the service). Suppliers / Eyewear Supplier (Equipment, not the service) is his primary health care specialty. Stalder, Shawn M can be contacted via phone (513) 896-7641.

Contact Information

Primary practice address
1020 Main St Hamilton OH 45013
Phone: (513) 896-7641
Fax: (513) 896-7641
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 52425 Ohio
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X

Profile Details

NPI number 1063555282
LBN Legal business name Stalder, Shawn M
Credentials OPTICIAN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2007
Last updated May 12th, 2015 - about 11 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 1063555282 NPPES
Ohio MEDICAID 2027265
Ohio Other 925027

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