Shen, Mark W.

Shen, Mark W. is an individual health care provider with primary practice located at 1057 Medical Park Dr Suite A, Osage Beach MO 65065-3000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Shen, Mark W. can be contacted via phone (573) 348-2745.

Contact Information

Primary practice address
1057 Medical Park Dr Suite A Osage Beach MO 65065-3000
Phone: (573) 348-2745
Fax: (573) 348-8279
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2003005211 Missouri

Profile Details

NPI number 1265401285
LBN Legal business name Shen, Mark W.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jan 28th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265401285 NPPES
Missouri MEDICAID 209035500

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