Shaw, Rebecca D
Shaw, Rebecca D is an sole proprietor health care provider with primary practice located at 3630 E Louise Dr , Meridian ID 83642-7975. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as her primary health care specialty. Shaw, Rebecca D can be contacted via phone (208) 377-9515.Contact Information
Primary practice address
3630 E Louise Dr
Meridian ID 83642-7975
Phone: (208) 377-9515
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | M-8189 | Idaho |
Profile Details
| NPI number | 1275772667 |
|---|---|
| LBN Legal business name | Shaw, Rebecca D |
| Credentials | CFA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 9th, 2009 |
| Last updated | Feb 9th, 2009 - about 17 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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