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
Phone: (770) 491-3003
Fax: (770) 491-0729
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1902994304 | NPPES |
Georgia | MEDICAID | 451485941C | |
Georgia | MEDICAID | 451485941B | |
Georgia | MEDICAID | 451485941A |
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