Shore, Carolyn M.
Shore, Carolyn M. is an individual health care provider with primary practice located at 920 Grand Ave Marin County Health Clinics, San Rafael CA 94901-3506. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Shore, Carolyn M. can be contacted via phone (415) 499-6841.Contact Information
Primary practice address
920 Grand Ave Marin County Health Clinics
San Rafael CA 94901-3506
Phone: (415) 499-6841
Fax: (415) 499-6855
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G060321 | California |
Profile Details
NPI number | 1831285444 |
---|---|
LBN Legal business name | Shore, Carolyn M. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 4th, 2006 |
Last updated | Jul 8th, 2007 - about 17 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 | 1831285444 | NPPES |
California | MEDICAID | 00G603210 |
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