MEDICARE: LOWELL SHINN JR. 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	207RH0003X	Hematology & Oncology Physician	35.090643	OH
2	207RH0003X	Hematology & Oncology Physician	MD423749	PA

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	:	1811961451
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LOWELL SHINN JR. M.D.

Provider Business Mailing Address
First Line	:	807 FARSON ST STE 210
Second Line	:
City	:	BELPRE
State	:	OH
Zip	:	45714-1069
Country	:	US
Telephone Number	:	740-376-5000
Fax Number	:	740-376-5002

Provider Business Practice Location Address
First Line	:	807 FARSON ST STE 210
Second Line	:
City	:	BELPRE
State	:	OH
Zip	:	45714-1069
Country	:	US
Telephone Number	:	740-376-5000
Fax Number	:	740-376-5002

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

Provider Enumeration Date	:	02/13/2006
Last Update Date	:	02/08/2024

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