Shanahan, Timothy J
Shanahan, Timothy J is an individual health care provider with primary practice located at 522 Idlewild Ave , Easton MD 21601-3824. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Shanahan, Timothy J can be contacted via phone (410) 822-5571.Contact Information
Primary practice address
522 Idlewild Ave
Easton MD 21601-3824
Phone: (410) 822-5571
Fax: (410) 822-3859
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | H0064036 | Maryland |
Profile Details
| NPI number | 1528072089 |
|---|---|
| LBN Legal business name | Shanahan, Timothy J |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1528072089 | NPPES |
| Maryland | Other | H0064036 | STATE MEDICAL LICENSE |
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