Shaw, Richard Mark
Shaw, Richard Mark is an sole proprietor health care provider with primary practice located at 2755 Alamo St #100, Simi Valley CA 93065-1311. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Shaw, Richard Mark can be contacted via phone (805) 210-7280.Contact Information
Primary practice address
2755 Alamo St #100
Simi Valley CA 93065-1311
Phone: (805) 210-7280
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | G75294 | California |
Profile Details
| NPI number | 1376537753 |
|---|---|
| LBN Legal business name | Shaw, Richard Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2005 |
| Last updated | Oct 15th, 2015 - about 9 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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