Shipp, Thomas D

Shipp, Thomas D is an individual health care provider with primary practice located at 1 Brookline Pl Suite 506, Brookline MA 02445-7224. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Shipp, Thomas D can be contacted via phone (617) 739-0245.

Contact Information

Primary practice address
1 Brookline Pl Suite 506 Brookline MA 02445-7224
Phone: (617) 739-0245
Fax: (617) 738-6703
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 77466 Massachusetts
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 77466 Massachusetts
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 77466 Massachusetts

Profile Details

NPI number 1114925211
LBN Legal business name Shipp, Thomas D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated May 8th, 2014 - about 10 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 1114925211 NPPES
Massachusetts MEDICAID 3116689

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