Shaw, Leonard S

Shaw, Leonard S is an sole proprietor health care provider with primary practice located at 44 Mason St , Berlin NH 03570. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Shaw, Leonard S can be contacted via phone (603) 752-6211.

Contact Information

Primary practice address
44 Mason St Berlin NH 03570
Phone: (603) 752-6211
Fax: (603) 752-7645
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT584 Maine
Eye and Vision Services Providers / Optometrist 152W00000X 0225 New Hampshire

Profile Details

NPI number 1528039955
LBN Legal business name Shaw, Leonard S
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 1st, 2006
Last updated Jul 8th, 2008 - about 16 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 1528039955 NPPES
New Hampshire MEDICAID 80587867
New Hampshire MEDICAID 108660000
New Hampshire Other 001300

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