Shore, Eric Eugene
Shore, Eric Eugene is an individual health care provider with primary practice located at 3939 Conshohocken Ave , Philadelphia PA 19131-5400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Shore, Eric Eugene can be contacted via phone (215) 877-7400.Contact Information
Primary practice address
3939 Conshohocken Ave
Philadelphia PA 19131-5400
Phone: (215) 877-7400
Fax: (215) 877-7479
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | OS-003157-L | Pennsylvania |
Profile Details
| NPI number | 1750387601 |
|---|---|
| LBN Legal business name | Shore, Eric Eugene |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2005 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750387601 | NPPES |
| Pennsylvania | MEDICAID | 0830344 |
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