Provider Demographics
NPI:1376635524
Name:MANION, SHEILA (MD)
Entity Type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:
Last Name:MANION
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2658 W LASKEY RD
Mailing Address - Street 2:SECOND FLOOR
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43613-3288
Mailing Address - Country:US
Mailing Address - Phone:419-473-8100
Mailing Address - Fax:419-473-8109
Practice Address - Street 1:2658 W LASKEY RD
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43613-3288
Practice Address - Country:US
Practice Address - Phone:419-473-8100
Practice Address - Fax:419-473-8109
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2008-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH350517522085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0601307Medicaid
OHE51829Medicare UPIN
OH0601307Medicaid