Shine, William J

Shine, William J is an individual health care provider with primary practice located at 308 Main St , Milford MA 01757-2511. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Shine, William J can be contacted via phone (508) 731-2560.

Contact Information

Primary practice address
308 Main St Milford MA 01757-2511
Phone: (508) 731-2560
Fax: (508) 731-2561
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 71546 Massachusetts

Profile Details

NPI number 1104895622
LBN Legal business name Shine, William J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Apr 14th, 2022 - about 3 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 1104895622 NPPES
Other 060049122 RR MEDICARE
Other 14115 RR MEDICARE
Other 0024703 RR MEDICARE
Other J09850 RR MEDICARE
Other 3954 RR MEDICARE
MEDICAID 3061485 RR MEDICARE
Other 732036 RR MEDICARE

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