Shapiro, Mark L

Shapiro, Mark L is an individual health care provider with primary practice located at 44201 Dequindre Rd , Troy MI 48085-1117. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Trauma Surgery is his primary health care specialty. Shapiro, Mark L can be contacted via phone (284) 964-1187.

Contact Information

Primary practice address
44201 Dequindre Rd Troy MI 48085-1117
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MC-0787 Idaho
Allopathic & Osteopathic Physicians / Surgery 208600000X 219511 Massachusetts
Allopathic & Osteopathic Physicians / Surgery 208600000X MD23567 Maine
Allopathic & Osteopathic Physicians / Surgery 208600000X 2006-01252 North Carolina
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X EMC0000656 Michigan

Profile Details

NPI number 1164405270
LBN Legal business name Shapiro, Mark L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated May 2nd, 2024 - about last year

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 1164405270 NPPES
Massachusetts MEDICAID 2021536
Massachusetts Other 1431R

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