Shapiro, Evan Ronald

Shapiro, Evan Ronald is an individual health care provider with primary practice located at 2480 West Campus Drive , Mt Pleasant MI 48858. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as his primary health care specialty. Shapiro, Evan Ronald can be contacted via phone (989) 772-1609.

Contact Information

Primary practice address
2480 West Campus Drive Mt Pleasant MI 48858
Phone: (989) 772-1609
Fax: (989) 953-4949
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 4301076680 Michigan

Profile Details

NPI number 1205892981
LBN Legal business name Shapiro, Evan Ronald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2006
Last updated Aug 19th, 2009 - about 16 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 1205892981 NPPES
Michigan Other DD1273 MEDICARE RAILROAD GROUP
Michigan MEDICAID 1487796504 MEDICARE RAILROAD GROUP
Michigan MEDICAID 1174698336 MEDICARE RAILROAD GROUP

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