Shaw, Lynn Carlton

Shaw, Lynn Carlton is an individual health care provider with primary practice located at 3218 N Grimes St , Hobbs NM 88240-1254. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Shaw, Lynn Carlton can be contacted via phone (505) 392-7565.

Contact Information

Primary practice address
3218 N Grimes St Hobbs NM 88240-1254
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DD1042 New Mexico

Profile Details

NPI number 1194738997
LBN Legal business name Shaw, Lynn Carlton
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated Jul 8th, 2007 - about 19 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 1194738997 NPPES
New Mexico MEDICAID 88146

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