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Contact Information

CHARLES H SHAW, MD
370 CLINE AVENUE
MANSFIELD, OH44907
 Phone: 419-756-8511
 Fax: 419-756-8513
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for CHARLES H SHAW · (Male)

NPI # 1982623583
Status Active
Credentials MD
Entity Individual
Enumeration date 07/18/2006
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # 35-04-5931
  • OH Medicaid 0563840
  • OH Other 000000025568 ANTHEM
Hospital affiliation(s) Not Available
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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