Shaw, Suzanne L

Shaw, Suzanne L is an individual health care provider with primary practice located at 3000 15Th Ave South , Great Falls MT 59405. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Shaw, Suzanne L can be contacted via phone (406) 454-2171.

Contact Information

Primary practice address
3000 15Th Ave South Great Falls MT 59405
Phone: (406) 454-2171
Fax: (406) 771-3021
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 7782 Montana

Profile Details

NPI number 1770577942
LBN Legal business name Shaw, Suzanne L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2005
Last updated Aug 8th, 2011 - about 13 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 1770577942 NPPES
Montana MEDICAID 0072371

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