Shaw, Mark A

Shaw, Mark A is an individual health care provider with primary practice located at 925 E Pennsylvania Avenue Suite H, Escondido CA 92025. He recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as his primary health care specialty. Shaw, Mark A can be contacted via phone (760) 743-5544.

Contact Information

Primary practice address
925 E Pennsylvania Avenue Suite H Escondido CA 92025
Phone: (760) 743-5544
Fax: (760) 743-5306
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X HA531 California

Profile Details

NPI number 1639462013
LBN Legal business name Shaw, Mark A
Credentials BC-HIS
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2011
Last updated Mar 24th, 2017 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639462013 NPPES
California Other 1194897496 MEDI-CAL

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