Traub, Shaun Lowell

Traub, Shaun Lowell is an individual health care provider with primary practice located at 487 Winn Way Suite 100, Decatur GA 30030-1735. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Traub, Shaun Lowell can be contacted via phone (770) 491-3003.

Contact Information

Primary practice address
487 Winn Way Suite 100 Decatur GA 30030-1735
Fax: (770) 491-0729
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 63970 Georgia

Profile Details

NPI number 1902994304
LBN Legal business name Traub, Shaun Lowell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Aug 13th, 2014 - about 10 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 1902994304 NPPES
Georgia MEDICAID 451485941C
Georgia MEDICAID 451485941B
Georgia MEDICAID 451485941A

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