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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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