Shaw, Robert Alan

Shaw, Robert Alan is an individual health care provider with primary practice located at 412 Malcolm Dr Suite 206, Westminster MD 21157-6115. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Shaw, Robert Alan can be contacted via phone (410) 848-0364.

Contact Information

Primary practice address
412 Malcolm Dr Suite 206 Westminster MD 21157-6115
Fax: (410) 848-4037
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X D0033112 Maryland

Profile Details

NPI number 1811082803
LBN Legal business name Shaw, Robert Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Jul 8th, 2007 - about 18 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 1811082803 NPPES
Maryland MEDICAID 429151401

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