Amano, Shinya

Amano, Shinya is an individual health care provider with primary practice located at 22 Bramhall St , Portland ME 04102-3134. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Amano, Shinya can be contacted via phone (207) 662-0111.

Contact Information

Primary practice address
22 Bramhall St Portland ME 04102-3134
Phone: (207) 662-0111
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ZD0900X MD23729 Maine
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 278298 Massachusetts
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X MD23729 Maine
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD23729 Maine

Profile Details

NPI number 1184006108
LBN Legal business name Amano, Shinya
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2015
Last updated Jul 2nd, 2020 - about 5 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 1184006108 NPPES
Maine MEDICAID 1184006108

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