Shearburn, Edwin Webster

Shearburn, Edwin Webster is an individual health care provider with primary practice located at 915 Lawn Ave Suite 203, Sellersville PA 18960-1551. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Shearburn, Edwin Webster can be contacted via phone (215) 453-3400.

Contact Information

Primary practice address
915 Lawn Ave Suite 203 Sellersville PA 18960-1551
Fax: (215) 453-3410
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD016225E Pennsylvania

Profile Details

NPI number 1649262015
LBN Legal business name Shearburn, Edwin Webster
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2005
Last updated Jun 11th, 2015 - about 11 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 1649262015 NPPES
Pennsylvania Other 010058 BLUE SHIELD
Pennsylvania Other 0021717000 BLUE SHIELD
Pennsylvania MEDICAID 000647298 BLUE SHIELD

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