Li, Shipen
Li, Shipen is an individual health care provider with primary practice located at 50 Memorial Dr , Leominster MA 01453-2238. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Li, Shipen can be contacted via phone (978) 466-4535.Contact Information
Primary practice address
50 Memorial Dr
Leominster MA 01453-2238
Phone: (978) 466-4535
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 60111 | Massachusetts |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 60111 | Massachusetts |
Profile Details
| NPI number | 1811947997 |
|---|---|
| LBN Legal business name | Li, Shipen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2006 |
| Last updated | Nov 18th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811947997 | NPPES |
| Massachusetts | MEDICAID | 110048887A |
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