Francis, Shawn
Francis, Shawn is an sole proprietor health care provider with primary practice located at 500 Portion Rd Ste 16 , Ronkonkoma NY 11779-4587. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Francis, Shawn can be contacted via phone (631) 451-7700.Contact Information
Primary practice address
500 Portion Rd Ste 16
Ronkonkoma NY 11779-4587
Phone: (631) 451-7700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 058670 | New York |
Profile Details
| NPI number | 1730572157 |
|---|---|
| LBN Legal business name | Francis, Shawn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 10th, 2015 |
| Last updated | Mar 17th, 2018 - about 8 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 | 1730572157 | NPPES |
| New York | MEDICAID | 04530636 |
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