Provider Demographics
NPI:1700527165
Name:HARIGLE, SHELBY A (RPT, SHELBY HARIGLE)
Entity Type:Individual
Prefix:
First Name:SHELBY
Middle Name:A
Last Name:HARIGLE
Suffix:
Gender:F
Credentials:RPT, SHELBY HARIGLE
Other - Prefix:
Other - First Name:SHELBY
Other - Middle Name:A
Other - Last Name:HARIGLE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPT
Mailing Address - Street 1:1581 MARION WALDO RD # 710
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:OH
Mailing Address - Zip Code:43302-7423
Mailing Address - Country:US
Mailing Address - Phone:740-251-4175
Mailing Address - Fax:
Practice Address - Street 1:1581 MARION WALDO RD # 710
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:OH
Practice Address - Zip Code:43302-7423
Practice Address - Country:US
Practice Address - Phone:740-251-4175
Practice Address - Fax:740-751-6861
Is Sole Proprietor?:No
Enumeration Date:2022-04-07
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2922086202K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes202K00000XAllopathic & Osteopathic PhysiciansPhlebology