Shore, Amy Wall
Shore, Amy Wall is an individual health care provider with primary practice located at 3445 Pch Hwy Ste 110 , Torrance CA 90505-6659. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Shore, Amy Wall can be contacted via phone (617) 686-2647.Contact Information
Primary practice address
3445 Pch Hwy Ste 110
Torrance CA 90505-6659
Phone: (617) 686-2647
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 226228 | Massachusetts |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 30993 | Alabama |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | A123437 | California |
Profile Details
| NPI number | 1235305566 |
|---|---|
| LBN Legal business name | Shore, Amy Wall |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 6th, 2008 |
| Last updated | Dec 12th, 2013 - about 11 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 | 1235305566 | NPPES |
| Alabama | MEDICAID | 132224 | |
| Alabama | MEDICAID | 132231 | |
| Alabama | Other | 051120731 | |
| Alabama | MEDICAID | 132222 | |
| Alabama | Other | 051120732 | |
| Alabama | Other | 051120734 | |
| Alabama | Other | 051120729 | |
| Alabama | MEDICAID | 132226 | |
| Alabama | MEDICAID | 01600227 |
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