Shampain, Lawrence Richard
Shampain, Lawrence Richard is an sole proprietor health care provider with primary practice located at 32 Wernik Pl Ste B , Metuchen NJ 08840-2467. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Shampain, Lawrence Richard can be contacted via phone (732) 548-1600.Contact Information
Primary practice address
32 Wernik Pl Ste B
Metuchen NJ 08840-2467
Phone: (732) 548-1600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MA054652 | New Jersey |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | MA054652 | New Jersey |
Profile Details
| NPI number | 1881789816 |
|---|---|
| LBN Legal business name | Shampain, Lawrence Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Feb 14th, 2014 - about 11 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 | 1881789816 | NPPES |
| New Jersey | MEDICAID | 4144007 | |
| New Jersey | MEDICAID | 0942405 |
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