Individual
LEON SHAFFOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12600 ROCKSIDE RD, GARFIELD HTS, OH 44125-4525
(216) 510-4984
Mailing address
12600 ROCKSIDE RD, GARFIELD HTS, OH 44125-4525
(216) 510-4984
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
188735
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3148338
—
OH
Enumeration date
07/18/2014
Last updated
07/18/2014
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