Shaughnessy, Thomas Edward

Shaughnessy, Thomas Edward is an individual health care provider with primary practice located at 1783 El Camino Real , Burlingame CA 94010-3205. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Shaughnessy, Thomas Edward can be contacted via phone (650) 696-5400.

Contact Information

Primary practice address
1783 El Camino Real Burlingame CA 94010-3205
Phone: (650) 696-5400
Fax: (650) 696-5208
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X G76267 California
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X G76267 California
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X G76267 California

Profile Details

NPI number 1902843535
LBN Legal business name Shaughnessy, Thomas Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Sep 30th, 2019 - about 6 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 1902843535 NPPES
California MEDICAID 00G762670

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