Shana, Charles B

Shana, Charles B is an individual health care provider with primary practice located at 1030 President Ave Suite 110, Fall River MA 02720-5923. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Shana, Charles B can be contacted via phone (508) 235-6349.

Contact Information

Primary practice address
1030 President Ave Suite 110 Fall River MA 02720-5923
Phone: (508) 235-6349
Fax: (508) 973-1715
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD06300 Rhode Island
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 54052 Massachusetts

Profile Details

NPI number 1427014935
LBN Legal business name Shana, Charles B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2006
Last updated Apr 27th, 2020 - about 4 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 1427014935 NPPES
Massachusetts MEDICAID 3048756
Massachusetts Other 6654
Massachusetts Other 000000021258
Massachusetts Other J08749
Massachusetts Other 0000025599
Massachusetts Other 201678

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