Peng, Shane H

Peng, Shane H is an individual health care provider with primary practice located at 400 Sentara Cir Ste 450, Williamsburg VA 23188-5716. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Peng, Shane H can be contacted via phone (757) 345-4614.

Contact Information

Primary practice address
400 Sentara Cir Ste 450 Williamsburg VA 23188-5716
Phone: (757) 345-4614
Fax: (757) 345-4601
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101055813 Virginia

Profile Details

NPI number 1033184130
LBN Legal business name Peng, Shane H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Jan 26th, 2012 - about 13 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 1033184130 NPPES
Virginia MEDICAID 010114284

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