Shaw, Steven Loren
Shaw, Steven Loren is an individual health care provider with primary practice located at 9981 S Healthpark Dr , Fort Myers FL 33908-3618. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Shaw, Steven Loren can be contacted via phone (239) 343-2062.Contact Information
Primary practice address
9981 S Healthpark Dr
Fort Myers FL 33908-3618
Phone: (239) 343-2062
Fax: (239) 343-9193
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 4301115319 | Michigan |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 4301115319 | Michigan |
Profile Details
| NPI number | 1326432584 |
|---|---|
| LBN Legal business name | Shaw, Steven Loren |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 26th, 2015 |
| Last updated | Oct 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326432584 | NPPES |
| Florida | MEDICAID | 111343100 |
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