Individual provider · Type 1 NPI

Ethan Benjamin Shim, DC

Chiropractor · Broadview Heights, OH

NPI number 1073405551 Active

Practice location

1100 W Royalton Rd
Broadview Heights, OH 44147-3946

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XDC-05473 (OH)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1073405551

Ethan Benjamin Shim, DC's National Provider Identifier is 1073405551, issued on Jul 17, 2025. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Broadview Heights, OH. The record was last updated on Jul 17, 2025.