Shaw, Ray Douglas

Shaw, Ray Douglas is an individual health care provider with primary practice located at 215 Pesetas Ln , Santa Barbara CA 93110-1416. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Shaw, Ray Douglas can be contacted via phone (805) 681-1761.

Contact Information

Primary practice address
215 Pesetas Ln Santa Barbara CA 93110-1416
Phone: (805) 681-1761
Fax: (805) 681-1761
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207PS0010X C35254 California

Profile Details

NPI number 1972609048
LBN Legal business name Shaw, Ray Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated Feb 4th, 2022 - about 4 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 1972609048 NPPES
California MEDICAID 00C352540

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