Shaw, Bernadette H

Shaw, Bernadette H is an individual health care provider with primary practice located at 33 Sewall St , Portland ME 04102-2603. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Shaw, Bernadette H can be contacted via phone (207) 828-2100.

Contact Information

Primary practice address
33 Sewall St Portland ME 04102-2603
Phone: (207) 828-2100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA865 Maine

Profile Details

NPI number 1467412551
LBN Legal business name Shaw, Bernadette H
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Sep 10th, 2021 - about 3 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 1467412551 NPPES
Maine MEDICAID 1467412551

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