Shaw, Peter K

Shaw, Peter K is an individual health care provider with primary practice located at 331 Veranda St , Portland ME 04103-5545. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Shaw, Peter K can be contacted via phone (207) 828-2402.

Contact Information

Primary practice address
331 Veranda St Portland ME 04103-5545
Phone: (207) 828-2402
Fax: (207) 828-2425
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD9819 Maine

Profile Details

NPI number 1851361398
LBN Legal business name Shaw, Peter K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Jun 21st, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1851361398 NPPES
Maine MEDICAID 111080099

Popular Providers