Shore, Neil S.

Shore, Neil S. is an individual health care provider with primary practice located at 55 Highland Ave Ste 104, Salem MA 01970-2100. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Shore, Neil S. can be contacted via phone (978) 745-4489.

Contact Information

Primary practice address
55 Highland Ave Ste 104 Salem MA 01970-2100
Fax: (978) 354-2085
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 29592 Massachusetts
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 29592 Massachusetts
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 29592 Massachusetts

Profile Details

NPI number 1346243698
LBN Legal business name Shore, Neil S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
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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Identifiers

StateTypeNumberIssuer
All States NPI 1346243698 NPPES
Massachusetts MEDICAID 2007452

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