Shanahan, Christopher W
Shanahan, Christopher W is an individual health care provider with primary practice located at 1575 Blue Hill Ave , Mattapan MA 02126-2122. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Shanahan, Christopher W can be contacted via phone (617) 829-6006.Contact Information
Primary practice address
1575 Blue Hill Ave
Mattapan MA 02126-2122
Phone: (617) 829-6006
Fax: (617) 296-5408
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 74099 | Massachusetts |
Profile Details
| NPI number | 1730184854 |
|---|---|
| LBN Legal business name | Shanahan, Christopher W |
| Credentials | M.D., M.P.H. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2005 |
| Last updated | Feb 2nd, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730184854 | NPPES |
| Massachusetts | MEDICAID | 110050376A |
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