National Provider Identifier Database

SHANA L MUNDY
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

SHANA L MUNDY
345 LARCHMONT AVE
SPRINGFIELD, OH45503-5423
Phone: 937-631-5017
Fax:
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for SHANA L MUNDY

NPI Number 1023605862
Credentials
Entity Individual
Enumeration date 12/28/2020
Last updated 12/28/2020 - About 5 years ago
Sole proprietor1 Yes
Identifiers
  • OH Medicaid: 1203629
Hospital affiliation n/a

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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