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:
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Health care specialties

SpecialtyCodeLicense #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 2 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 1730184854 NPPES
Massachusetts MEDICAID 110050376A

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