Brubaker, Shawn M

Brubaker, Shawn M is an individual health care provider with primary practice located at 2510 Airpark Dr Ste 301, Redding CA 96001-2449. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Brubaker, Shawn M can be contacted via phone (530) 242-3500.

Contact Information

Primary practice address
2510 Airpark Dr Ste 301 Redding CA 96001-2449
Fax: (530) 242-3546
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 20A9922 California

Profile Details

NPI number 1356473078
LBN Legal business name Brubaker, Shawn M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2007
Last updated Sep 27th, 2014 - about 10 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 1356473078 NPPES
Nevada Other SL0399 NEVADA MEDICAL LICENSE
Nevada Other 20A9922 NEVADA MEDICAL LICENSE
Nevada Other 0116018251 NEVADA MEDICAL LICENSE
Nevada Other 5101015098 NEVADA MEDICAL LICENSE

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