Shuster, Myron F

Shuster, Myron F is an individual health care provider with primary practice located at 3101 Breckenridge Ln Suite 4B, Louisville KY 40220-2742. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Shuster, Myron F can be contacted via phone (502) 451-1020.

Contact Information

Primary practice address
3101 Breckenridge Ln Suite 4B Louisville KY 40220-2742
Phone: (502) 451-1020
Fax: (502) 451-9339
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 4639 Kentucky

Profile Details

NPI number 1679640114
LBN Legal business name Shuster, Myron F
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2006
Last updated Jul 9th, 2007 - about 18 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 1679640114 NPPES
Kentucky MEDICAID 4503
Kentucky Other 59258
Kentucky Other 1377294

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