Shores, Walter Eugene

Shores, Walter Eugene is an individual health care provider with primary practice located at 2425 Samaritan Drive , San Jose CA 95124. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Shores, Walter Eugene can be contacted via phone (408) 559-2011.

Contact Information

Primary practice address
2425 Samaritan Drive San Jose CA 95124
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA12444 California

Profile Details

NPI number 1952341927
LBN Legal business name Shores, Walter Eugene
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Nov 27th, 2007 - about 15 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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