Shore, Karen Linda

Shore, Karen Linda is an individual health care provider with primary practice located at 734 Bliss Rd , Longmeadow MA 01106-1561. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Shore, Karen Linda can be contacted via phone (413) 567-4500.

Contact Information

Primary practice address
734 Bliss Rd Longmeadow MA 01106-1561
Fax: (413) 567-2447
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 59190 Massachusetts

Profile Details

NPI number 1316939713
LBN Legal business name Shore, Karen Linda
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2005
Last updated Jul 9th, 2007 - about 18 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 1316939713 NPPES
Massachusetts MEDICAID 9782338

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