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

Specialty	Code	License #	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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