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NPI Code Detail

MEDICARE: LAUREL B. SHELDON AA

MEDICARE: LAUREL B. SHELDON AA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367H00000XAnesthesiologist Assistant67000048OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
8P00412592OTHEROHRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20583328OTHEROHBCMH
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4000000232326OTHEROHUNISON
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6000000515976OTHEROHANTHEM
79533063OTHEROHAETNA

General Provider Information

NPI Number : 1093772774
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREL B. SHELDON AA
Provider Business Mailing Address
First Line : 6000 W CREEK RD
Second Line : SUITE 10
City : CLEVELAND
State : OH
Zip : 44131-2139
Country : US
Telephone Number : 216-986-1314
Fax Number : 216-986-1191
Provider Business Practice Location Address
First Line : 9500 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44195-0001
Country : US
Telephone Number : 800-223-2273
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2006
Last Update Date : 05/22/2008

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Directions to “ LAUREL B. SHELDON AA” Practice Location

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