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Contact Information

SHELLEY A STANFORTH, MD
67 NUNNER RD
MAINEVILLE, OH45039
 Phone: 513-677-2405
 Fax: 513-677-2781
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for SHELLEY A STANFORTH · (Female)

NPI # 1689774085
Status Active
Credentials MD
Entity Individual
Enumeration date 09/25/2006
Last updated 01/28/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 35-065438
  • OH Medicaid 2032606
  • OH Other 36-06-5438 STATE LICENSE
Hospital affiliation(s)
  • BETHESDA NORTH - (Acute Care)
    10500 MONTGOMERY ROAD
    CINCINNATI, OH 45242
  • CLINTON MEMORIAL HOSPITAL - (Acute Care)
    610 WEST MAIN STREET
    WILMINGTON, OH 45177
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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