Shaw, Leonard S
Shaw, Leonard S is an sole proprietor health care provider with primary practice located at 44 Mason St , Berlin NH 03570. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Shaw, Leonard S can be contacted via phone (603) 752-6211.Contact Information
Primary practice address
44 Mason St
Berlin NH 03570
Phone: (603) 752-6211
Fax: (603) 752-7645
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT584 | Maine |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 0225 | New Hampshire |
Profile Details
| NPI number | 1528039955 |
|---|---|
| LBN Legal business name | Shaw, Leonard S |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 1st, 2006 |
| Last updated | Jul 8th, 2008 - about 18 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 | 1528039955 | NPPES |
| New Hampshire | MEDICAID | 80587867 | |
| New Hampshire | MEDICAID | 108660000 | |
| New Hampshire | Other | 001300 |
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