Provider Demographics
NPI:1902959125
Name:SHULLER & KRAVITZ, INC.
Entity Type:Organization
Organization Name:SHULLER & KRAVITZ, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:O
Authorized Official - Last Name:ORUMA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:419-231-0187
Mailing Address - Street 1:5215 MONROE ST
Mailing Address - Street 2:SUITE 7
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43623-3139
Mailing Address - Country:US
Mailing Address - Phone:418-841-7877
Mailing Address - Fax:419-841-3336
Practice Address - Street 1:5215 MONROE ST
Practice Address - Street 2:SUITE 7
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43623-3139
Practice Address - Country:US
Practice Address - Phone:418-841-7877
Practice Address - Fax:419-841-3336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2008-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2495947332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2495947Medicaid
OH5031640002Medicare ID - Type UnspecifiedMEDICARE NUMBER