Organization
NORTH SHORE PODIATRY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL SHEARER DPM (PODIATRIST OWNER)
(440) 930-8637
Entity
Organization
Contact information
Practice address
515 MOORE RD, SUITE 3, AVON LAKE, OH 44012-2366
(440) 930-8637
Mailing address
515 MOORE RD, SUITE 3, AVON LAKE, OH 44012-2366
(440) 930-8637
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36003128
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2278306
—
OH
05
—
2853309
—
OH
01
—
DD8373
RAILROAD MEDICARE
OH
Enumeration date
03/22/2007
Last updated
11/12/2008
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