Shore, Rebecca C
Shore, Rebecca C is an individual health care provider with primary practice located at 21 Village Sq , Chelmsford MA 01824-2712. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Shore, Rebecca C can be contacted via phone (978) 995-3292.Contact Information
Primary practice address
21 Village Sq
Chelmsford MA 01824-2712
Phone: (978) 995-3292
Fax: (978) 677-7339
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 210438 | Massachusetts |
Profile Details
| NPI number | 1053396143 |
|---|---|
| LBN Legal business name | Shore, Rebecca C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 12th, 2005 |
| Last updated | Jan 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053396143 | NPPES |
| Massachusetts | MEDICAID | 2040735 |
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