Shore, Eric Eugene

Shore, Eric Eugene is an individual health care provider with primary practice located at 3939 Conshohocken Ave , Philadelphia PA 19131-5400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Shore, Eric Eugene can be contacted via phone (215) 877-7400.

Contact Information

Primary practice address
3939 Conshohocken Ave Philadelphia PA 19131-5400
Phone: (215) 877-7400
Fax: (215) 877-7479
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X OS-003157-L Pennsylvania

Profile Details

NPI number 1750387601
LBN Legal business name Shore, Eric Eugene
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated Jul 8th, 2007 - about 19 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 1750387601 NPPES
Pennsylvania MEDICAID 0830344

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