Shore, Carolyn M.

Shore, Carolyn M. is an individual health care provider with primary practice located at 920 Grand Ave Marin County Health Clinics, San Rafael CA 94901-3506. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Shore, Carolyn M. can be contacted via phone (415) 499-6841.

Contact Information

Primary practice address
920 Grand Ave Marin County Health Clinics San Rafael CA 94901-3506
Phone: (415) 499-6841
Fax: (415) 499-6855
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G060321 California

Profile Details

NPI number 1831285444
LBN Legal business name Shore, Carolyn M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Jul 8th, 2007 - about 19 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 1831285444 NPPES
California MEDICAID 00G603210

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