Shore, Neal

Shore, Neal is an individual health care provider with primary practice located at 823 82Nd Pkwy , Myrtle Beach SC 29572-4607. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Shore, Neal can be contacted via phone (843) 449-1010.

Contact Information

Primary practice address
823 82Nd Pkwy Myrtle Beach SC 29572-4607
Fax: (843) 497-6171
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MD17316 South Carolina

Profile Details

NPI number 1265423453
LBN Legal business name Shore, Neal
Credentials DR
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Dec 29th, 2016 - about 8 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 1265423453 NPPES
South Carolina Other 340009204 RAILROAD MEDICARE
South Carolina MEDICAID GP1418 RAILROAD MEDICARE
South Carolina Other 80023052 RAILROAD MEDICARE
South Carolina Other 771700 RAILROAD MEDICARE
South Carolina MEDICAID 1265423453 RAILROAD MEDICARE
South Carolina Other P00360567 RAILROAD MEDICARE
South Carolina MEDICAID 173163 RAILROAD MEDICARE
South Carolina MEDICAID GP4522 RAILROAD MEDICARE

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