Individual
MR. CHARLES T SHINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4100 W 3RD ST, DAYTON, OH 45428-9000
(937) 258-6511
(937) 267-3998
Mailing address
200 E RAHN RD, DAYTON, OH 45429-5424
(937) 434-5456
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN217919/NA01171
OH
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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