Shaw, Spencer
Shaw, Spencer is an sole proprietor health care provider with primary practice located at 30 Greenridge Ave , White Plains NY 10605-1237. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Shaw, Spencer can be contacted via phone (914) 328-8555.Contact Information
Primary practice address
30 Greenridge Ave
White Plains NY 10605-1237
Phone: (914) 328-8555
Fax: (914) 593-7881
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 109224 | New York |
Profile Details
| NPI number | 1053329797 |
|---|---|
| LBN Legal business name | Shaw, Spencer |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 4th, 2006 |
| Last updated | Apr 3rd, 2009 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053329797 | NPPES |
| New York | Other | P00600058 | RR MEDICARE |
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