Provider Demographics
NPI:1528164274
Name:DR. ANNE SHRINER INC.
Entity type:Organization
Organization Name:DR. ANNE SHRINER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:M
Authorized Official - Last Name:SHRINER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:330-345-2229
Mailing Address - Street 1:546 WINTER ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WOOSTER
Mailing Address - State:OH
Mailing Address - Zip Code:44691-2300
Mailing Address - Country:US
Mailing Address - Phone:330-345-2229
Mailing Address - Fax:330-345-2236
Practice Address - Street 1:546 WINTER ST
Practice Address - Street 2:SUITE 100
Practice Address - City:WOOSTER
Practice Address - State:OH
Practice Address - Zip Code:44691-2300
Practice Address - Country:US
Practice Address - Phone:330-345-2229
Practice Address - Fax:330-345-2236
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-16
Last Update Date:2010-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOH35072083S207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2502189Medicaid
OH341166111ASOtherSUMMACARE
OH2502189Medicaid