Shore, Paul Michael

Shore, Paul Michael is an individual health care provider with primary practice located at 3601 A Street , Philadelphia PA 19134. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as his primary health care specialty. Shore, Paul Michael can be contacted via phone (215) 427-5000.

Contact Information

Primary practice address
3601 A Street Philadelphia PA 19134
Phone: (215) 427-5000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X M0273 Texas
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X MD070589L Pennsylvania

Profile Details

NPI number 1699739599
LBN Legal business name Shore, Paul Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Jan 6th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699739599 NPPES
Texas MEDICAID 170113801

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