Shen, Xue Yu
Shen, Xue Yu is an sole proprietor health care provider with primary practice located at 9 Linden Street , Worcester MA 01609. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Shen, Xue Yu can be contacted via phone (508) 755-0008.Contact Information
Primary practice address
9 Linden Street
Worcester MA 01609
Phone: (508) 755-0008
Fax: (508) 770-0603
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 21007 | Massachusetts |
Profile Details
| NPI number | 1245249820 |
|---|---|
| LBN Legal business name | Shen, Xue Yu |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Jul 23rd, 2012 - about 12 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 | 1245249820 | NPPES |
| Other | X09042 | BCBS | |
| MEDICAID | 0204218 | BCBS |
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