Shaman, Paul Richard
Shaman, Paul Richard is an sole proprietor health care provider with primary practice located at 9674 South Run Oaks Dr. , Fairfax Station VA 22039-2629. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Shaman, Paul Richard can be contacted via phone (703) 643-3041.Contact Information
Primary practice address
9674 South Run Oaks Dr.
Fairfax Station VA 22039-2629
Phone: (703) 643-3041
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | DN12279 | Massachusetts |
| Dental Providers / Periodontics | 1223P0300X | 6663 | Maryland |
Profile Details
| NPI number | 1689987844 |
|---|---|
| LBN Legal business name | Shaman, Paul Richard |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 16th, 2010 |
| Last updated | Jul 16th, 2010 - about 16 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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