Shaker, Leonard H

Shaker, Leonard H is an individual health care provider with primary practice located at 100 Wason Avenue Suite 120, Springfield MA 01107-1119. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Shaker, Leonard H can be contacted via phone (413) 241-2100.

Contact Information

Primary practice address
100 Wason Avenue Suite 120 Springfield MA 01107-1119
Phone: (413) 241-2100
Fax: (413) 735-1986
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 70483 Massachusetts

Profile Details

NPI number 1437117496
LBN Legal business name Shaker, Leonard H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Jun 17th, 2010 - about 14 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 1437117496 NPPES
Massachusetts Other J08438 BLUE CROSS BLUE SHIELD
Massachusetts MEDICAID 3049035 BLUE CROSS BLUE SHIELD

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