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NPI Code Detail

MEDICARE: MRS. JANET JANE SHIN MD

MEDICARE:  MRS. JANET JANE SHIN  MD
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
1208100000XPhysical Medicine & Rehabilitation Physician35100067SOH

Other Identifiers

General Provider Information

NPI Number : 1750372066
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JANET JANE SHIN MD
Provider Business Mailing Address
First Line : 18697 BAGLEY RD
Second Line : SOUTHWEST GENERAL HEALTH CENTER
City : MIDDLEBURG HTS
State : OH
Zip : 44130
Country : US
Telephone Number : 440-816-8007
Fax Number : 440-816-8020
Provider Business Practice Location Address
First Line : 18697 BAGLEY RD
Second Line :
City : MIDDLEBURG HTS
State : OH
Zip : 44130
Country : US
Telephone Number : 440-816-8007
Fax Number : 440-816-8020
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2005
Last Update Date : 10/26/2010

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Directions to “ MRS. JANET JANE SHIN MD” Practice Location

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