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
Phone: (978) 745-4489
Fax: (978) 354-2085
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1346243698 | NPPES |
Massachusetts | MEDICAID | 2007452 |
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