Bruce Shagovac, LCDC III # 051027

NPI 1932583127 · on the registry since 2015 · sole proprietor

Practice

Address: 6753 State Rd
Parma, OH 44134
Phone: (440) 843-5617
Fax: (440) 843-5556
Organisation at this address: Catholic Charities Corporation
Catholic Charities Corporation
Catholic Charities Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 71

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Licence states on file: OH
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2015-07-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio