Davis, Shane Michael

Davis, Shane Michael is an individual health care provider with primary practice located at 800 Washington St , Boston MA 02111-1552. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Davis, Shane Michael can be contacted via phone (617) 636-5631.

Contact Information

Primary practice address
800 Washington St Boston MA 02111-1552
Phone: (617) 636-5631
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 292836 Massachusetts

Profile Details

NPI number 1295269736
LBN Legal business name Davis, Shane Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2017
Last updated Nov 15th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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