Shore, Edward Grant
Shore, Edward Grant is an sole proprietor health care provider with primary practice located at 15243 Vanowen St Ste 412 , Van Nuys CA 91405-3662. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as his primary health care specialty. Shore, Edward Grant can be contacted via phone (818) 783-4800.Contact Information
Primary practice address
15243 Vanowen St Ste 412
Van Nuys CA 91405-3662
Phone: (818) 783-4800
Fax: (818) 781-6644
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | G7953 | California |
Profile Details
| NPI number | 1699846709 |
|---|---|
| LBN Legal business name | Shore, Edward Grant |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 11th, 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.
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