Individual
SHASE ERIC FLUHARTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
401 MATTHEW ST, EMERGENCY DEPARTMENT, MARIETTA, OH 45750-1635
(740) 376-1939
(740) 374-1693
Mailing address
PO BOX 449, MARIETTA, OH 45750-0449
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.003111RX
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0070671
—
OH
Enumeration date
09/16/2010
Last updated
01/20/2021
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