Provider Demographics
NPI:1184022337
Name:SHAPIRO, ERIC (ACLS, CHT, CHWS, DMT)
Entity type:Individual
Prefix:MR
First Name:ERIC
Middle Name:
Last Name:SHAPIRO
Suffix:
Gender:M
Credentials:ACLS, CHT, CHWS, DMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10540 YORK RD
Mailing Address - Street 2:SUITE H
Mailing Address - City:COCKEYSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21030-2300
Mailing Address - Country:US
Mailing Address - Phone:443-330-5618
Mailing Address - Fax:443-330-5676
Practice Address - Street 1:10540 YORK RD
Practice Address - Street 2:SUITE H
Practice Address - City:COCKEYSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21030-2300
Practice Address - Country:US
Practice Address - Phone:443-330-5618
Practice Address - Fax:443-330-5676
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-19
Last Update Date:2014-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD2837246Z00000X, 247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other
No247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other