Shaw- Mc Minn, Peter G

Shaw- Mc Minn, Peter G is an sole proprietor health care provider with primary practice located at 27830 Bradley Rd , Sun City CA 92586-2201. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Shaw- Mc Minn, Peter G can be contacted via phone (951) 672-4971.

Contact Information

Primary practice address
27830 Bradley Rd Sun City CA 92586-2201
Phone: (951) 672-4971
Fax: (951) 672-4083
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT 6553T California

Profile Details

NPI number 1467426866
LBN Legal business name Shaw- Mc Minn, Peter G
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2006
Last updated Jun 20th, 2012 - about 14 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 1467426866 NPPES
California MEDICAID ZZZ81412Z
California Other 12069
California Other 06612
California Other 118498
California Other 9516724971
California Other FC49172

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