Shaw, Enoch D
Shaw, Enoch D is an individual health care provider with primary practice located at 2720 Commercial St Se Ste 201, Salem OR 97302-4495. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Shaw, Enoch D can be contacted via phone (503) 480-0485.Contact Information
Primary practice address
2720 Commercial St Se Ste 201
Salem OR 97302-4495
Phone: (503) 480-0485
Fax: (503) 480-0486
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | MD08663 | Oregon |
Profile Details
| NPI number | 1710067988 |
|---|---|
| LBN Legal business name | Shaw, Enoch D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 16th, 2006 |
| Last updated | Feb 27th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710067988 | NPPES |
| Oregon | MEDICAID | 004887 |
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