Provider Demographics
NPI:1518216126
Name:SHAPIRO Z ENTERPRSISE INCORPORATED DBA ALINA MEDICAL SUPPLY
Entity Type:Organization
Organization Name:SHAPIRO Z ENTERPRSISE INCORPORATED DBA ALINA MEDICAL SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ZINOVIY
Authorized Official - Middle Name:EDUARDOVICH
Authorized Official - Last Name:SHAPIRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-461-2648
Mailing Address - Street 1:5842A MAYFIELD RD
Mailing Address - Street 2:
Mailing Address - City:MAYFIELD HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44124-2903
Mailing Address - Country:US
Mailing Address - Phone:440-461-2648
Mailing Address - Fax:440-461-8121
Practice Address - Street 1:5842A MAYFIELD RD
Practice Address - Street 2:
Practice Address - City:MAYFIELD HTS
Practice Address - State:OH
Practice Address - Zip Code:44124-2903
Practice Address - Country:US
Practice Address - Phone:440-461-2648
Practice Address - Fax:440-461-8121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-29
Last Update Date:2012-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH201222601077302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH=========Medicaid