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SHORE HEALTH SERVICES INC NPI 1811219751


NPI Information

NPI: 1811219751
Provider Name: SHORE HEALTH SERVICES, INC

Doing Business As: RIVERSIDE SHORE DIABETES CENTER

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
9507 HOSPITAL AVE
NASSAWADOX, VA
ZIP 23413
Phone: (757) 414-8054
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SHORE HEALTH SERVICES, INC is a general practice in Nassawadox, VA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee SHORE HEALTH SERVICES, INC NPI is 1811219751. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Riverside Shore Diabetes Center.

The provider's business location address is:

9507 HOSPITAL AVE
NASSAWADOX, VA
ZIP 23413-017
Phone: (757) 414-8054

The provider's authorized official is Joseph Zager .
The authorized official title is Administrator/vp and has the following contact phone number (757) 414-8765.

The enumeration date for this NPI number is 2/19/2010 and was last updated on 2/19/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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