# PAUL C SHIN MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568428118
- **Authorized official:** PAUL C SHIN MD (OWNER)
- **Authorized official phone:** (440) 997-6700

## Contact information

- **Practice address:** 2420 LAKE AVE, ASHTABULA, OH 44004-4954
- **Practice address phone:** (440) 997-6700
- **Practice address fax:** (440) 997-6312
- **Mailing address:** PO BOX 713832, COLUMBUS, OH 43271-3832
- **Mailing address phone:** (800) 277-8151

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/24/2006
- **Last updated:** 08/22/2020