Provider Demographics
NPI:1891917373
Name:VOGELSONG AND SHAW,LLC.
Entity Type:Organization
Organization Name:VOGELSONG AND SHAW,LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-752-8885
Mailing Address - Street 1:1268 GLEN HAVEN LN
Mailing Address - Street 2:
Mailing Address - City:BATAVIA
Mailing Address - State:OH
Mailing Address - Zip Code:45103-1171
Mailing Address - Country:US
Mailing Address - Phone:513-752-8885
Mailing Address - Fax:513-752-8885
Practice Address - Street 1:1351 LEESBURG AVE STE 200
Practice Address - Street 2:
Practice Address - City:WASHINGTON COURT HOUSE
Practice Address - State:OH
Practice Address - Zip Code:43160-8610
Practice Address - Country:US
Practice Address - Phone:740-335-1391
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT004608174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty