Shalon, Linda B

Shalon, Linda B is an individual health care provider with primary practice located at 593 Eddy St Lower Level, Providence RI 02903-4923. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as her primary health care specialty. Shalon, Linda B can be contacted via phone (401) 444-8306.

Contact Information

Primary practice address
593 Eddy St Lower Level Providence RI 02903-4923
Fax: (401) 444-8748
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 08258 Rhode Island
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 223274 Massachusetts

Profile Details

NPI number 1366497679
LBN Legal business name Shalon, Linda B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Apr 23rd, 2014 - 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 1366497679 NPPES
Rhode Island MEDICAID 7004268

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