Shaw, Michael Dudley

Shaw, Michael Dudley is an individual health care provider with primary practice located at 2138 Mendon Rd #302, Cumberland RI 02864-3834. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Shaw, Michael Dudley can be contacted via phone (401) 334-0218.

Contact Information

Primary practice address
2138 Mendon Rd #302 Cumberland RI 02864-3834
Phone: (401) 334-0218
Fax: (401) 334-9531
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 01331 Rhode Island

Profile Details

NPI number 1003802943
LBN Legal business name Shaw, Michael Dudley
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Jan 26th, 2010 - about 14 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 1003802943 NPPES
Rhode Island Other 405638 BLUECHIP
Rhode Island Other 1003802943 BLUECHIP

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