MEDICARE: JOSHUA J SUNSHINE M.D.

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
1	2084N0400X	Neurology Physician	35064097S	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548263569
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSHUA J SUNSHINE M.D.

Provider Business Mailing Address
First Line	:	35040 CHARDON RD
Second Line	:	STE 110
City	:	WILLOUGHBY
State	:	OH
Zip	:	44094-9004
Country	:	US
Telephone Number	:	440-946-1200
Fax Number	:	440-946-5186

Provider Business Practice Location Address
First Line	:	35040 CHARDON RD
Second Line	:	STE 110
City	:	WILLOUGHBY
State	:	OH
Zip	:	44094-9004
Country	:	US
Telephone Number	:	440-946-1200
Fax Number	:	440-946-5186

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	05/12/2021

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