Shirah, Jeffrey W

Shirah, Jeffrey W is an individual health care provider with primary practice located at 5310 Burnet Rd Suite 108, Austin TX 78756-2003. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Shirah, Jeffrey W can be contacted via phone (512) 458-5999.

Contact Information

Primary practice address
5310 Burnet Rd Suite 108 Austin TX 78756-2003
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN17289 Florida

Profile Details

NPI number 1083657746
LBN Legal business name Shirah, Jeffrey W
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Jul 10th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083657746 NPPES
Arizona MEDICAID 970972

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