Love, Shawn L.

Love, Shawn L. is an individual health care provider with primary practice located at 2110 Fox Dr , Champaign IL 61820-7553. She recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as her primary health care specialty. Love, Shawn L. can be contacted via phone (217) 366-1237.

Contact Information

Primary practice address
2110 Fox Dr Champaign IL 61820-7553
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 036-115545 Illinois

Profile Details

NPI number 1538175369
LBN Legal business name Love, Shawn L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Aug 20th, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1538175369 NPPES
Illinois MEDICAID 036115545 1
Illinois Other P00368223
Illinois Other 279500

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