Shaw, Colin Simeon
Shaw, Colin Simeon is an individual health care provider with primary practice located at 4620 Jefferson Ln Ne Ste C , Albuquerque NM 87109-2120. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Shaw, Colin Simeon can be contacted via phone (505) 888-3395.Contact Information
Primary practice address
4620 Jefferson Ln Ne Ste C
Albuquerque NM 87109-2120
Phone: (505) 888-3395
Fax: (505) 888-3426
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | DD1563 | New Mexico |
Profile Details
| NPI number | 1134334907 |
|---|---|
| LBN Legal business name | Shaw, Colin Simeon |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 14th, 2007 |
| 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.
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