Shaw, Peter Wilson

Shaw, Peter Wilson is an individual health care provider with primary practice located at 100 Mcgregor St # Stb , Manchester NH 03102. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Shaw, Peter Wilson can be contacted via phone (603) 663-6350.

Contact Information

Primary practice address
100 Mcgregor St # Stb Manchester NH 03102
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 233647 Massachusetts
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 19673 New Hampshire

Profile Details

NPI number 1023283009
LBN Legal business name Shaw, Peter Wilson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2008
Last updated Feb 2nd, 2021 - about 3 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 1023283009 NPPES
New Hampshire MEDICAID 3117935

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