Shouldice, Gregory Dawson

Shouldice, Gregory Dawson is an individual health care provider with primary practice located at 740 Williams St , Pittsfield MA 01201-7463. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Shouldice, Gregory Dawson can be contacted via phone (413) 445-4564.

Contact Information

Primary practice address
740 Williams St Pittsfield MA 01201-7463
Phone: (413) 445-4564
Fax: (413) 448-2727
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 53102 Massachusetts

Profile Details

NPI number 1720027188
LBN Legal business name Shouldice, Gregory Dawson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2006
Last updated Dec 8th, 2009 - about 15 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 1720027188 NPPES
Massachusetts MEDICAID 6183298
Massachusetts Other M16029

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