Gaughan, Shawn Thomas
Gaughan, Shawn Thomas is an individual health care provider with primary practice located at 1544 Sheldon St , Saint Paul MN 55108-2331. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Gaughan, Shawn Thomas can be contacted via phone (651) 646-3091.Contact Information
Primary practice address
1544 Sheldon St
Saint Paul MN 55108-2331
Phone: (651) 646-3091
Fax: (651) 646-3124
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | R 139202-1 | Minnesota |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | RN223809 | Massachusetts |
Profile Details
NPI number | 1417926130 |
---|---|
LBN Legal business name | Gaughan, Shawn Thomas |
Credentials | Certified Registered Nurse Anesthetist (CRNA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 15th, 2006 |
Last updated | Jun 14th, 2022 - about 3 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 | 1417926130 | NPPES |
Minnesota | MEDICAID | 985190900 |
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