Shaw, Neil T

Shaw, Neil T is an individual health care provider with primary practice located at 27593 Harper , Saint Clair Shores MI 48081. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Shaw, Neil T can be contacted via phone (586) 779-6140.

Contact Information

Primary practice address
27593 Harper Saint Clair Shores MI 48081
Phone: (586) 779-6140
Fax: (586) 779-9865
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 5901001895 Michigan

Profile Details

NPI number 1144267758
LBN Legal business name Shaw, Neil T
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Feb 4th, 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 1144267758 NPPES
Michigan MEDICAID 4532888
Michigan Other 4855010390

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