Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | 34-006632 | OH |
NPI | 1144296708 |
---|---|
Provider Name | Carl M Shapiro |
First Address | Cincinnati, OH 45246-1520 |
Second Address | Cincinnati, OH 45246-1520 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/02/2006 |
Last Update Date | 26/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200142880 | (05) | IN |
2015143 | (05) | OH |
64956790 | (05) | KY |
F98958 | (02) | OH |