Gailushas, Shane A
Gailushas, Shane A is an individual health care provider with primary practice located at Mercy Ear Nose And Throat Clinic 901 8Th Avenue Se, Cedar Rapids IA 52401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, which is considered as his primary health care specialty. Gailushas, Shane A can be contacted via phone (319) 398-6900.Contact Information
Primary practice address
Mercy Ear Nose And Throat Clinic 901 8Th Avenue Se
Cedar Rapids IA 52401
Phone: (319) 398-6900
Fax: (319) 398-6901
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery | 207YX0905X | MD-43426 | Iowa |
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery | 207YX0905X | MED-PHYS-LIC-33185 | Montana |
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery | 207YX0905X | 53757-20 | Wisconsin |
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery | 207YX0905X | 2013015482 | Missouri |
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery | 207YX0905X | MD2015-0203 | New Mexico |
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery | 207YX0905X | 8995595-1205 | Utah |
Profile Details
NPI number | 1073786521 |
---|---|
LBN Legal business name | Gailushas, Shane A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 4th, 2008 |
Last updated | Mar 9th, 2021 - about 4 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 | 1073786521 | NPPES |
Missouri | MEDICAID | 1073786521 |
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