Individual
SHAWN C WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1138 W HIGH ST, LIMA, OH 45805-2725
(419) 225-2726
(419) 228-9909
Mailing address
1138 W HIGH ST, LIMA, OH 45805-2725
(419) 225-2726
(419) 228-9909
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36003056W
OH
213ES0000X
Sports Medicine Podiatrist
36003056W
OH
213ES0131X
Foot Surgery Podiatrist
36003056W
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2136398
—
OH
01
—
480031634
RAILROAD MEDICARE
OH
01
—
CB6624
RAILROAD MEDICARE
—
Enumeration date
06/22/2005
Last updated
04/21/2021
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