Shaw, Stephen G

Shaw, Stephen G is an individual health care provider with primary practice located at 10333 El Camino Real , Atascadero CA 93422-5808. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Shaw, Stephen G can be contacted via phone (805) 468-2000.

Contact Information

Primary practice address
10333 El Camino Real Atascadero CA 93422-5808
Phone: (805) 468-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 233206 New York
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 140998 California

Profile Details

NPI number 1780668392
LBN Legal business name Shaw, Stephen G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Feb 25th, 2019 - about 6 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 1780668392 NPPES
New York Other 204117100 PHCS
New York MEDICAID 02709722 PHCS
New York Other EMPIRE BCBS PHCS
New York Other 9431055 PHCS

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