Shipp, Thomas D
Shipp, Thomas D is an individual health care provider with primary practice located at 1 Brookline Pl Suite 506, Brookline MA 02445-7224. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Shipp, Thomas D can be contacted via phone (617) 739-0245.Contact Information
Primary practice address
1 Brookline Pl Suite 506
Brookline MA 02445-7224
Phone: (617) 739-0245
Fax: (617) 738-6703
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 77466 | Massachusetts |
| Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | 77466 | Massachusetts |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 77466 | Massachusetts |
Profile Details
| NPI number | 1114925211 |
|---|---|
| LBN Legal business name | Shipp, Thomas D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2005 |
| Last updated | May 8th, 2014 - about 12 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 | 1114925211 | NPPES |
| Massachusetts | MEDICAID | 3116689 |
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