Isaeff, Shawn Dale

Isaeff, Shawn Dale is an individual health care provider with primary practice located at 5974 Fashion Point Dr Ste 110 , Ogden UT 84403-4712. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Isaeff, Shawn Dale can be contacted via phone (801) 917-2270.

Contact Information

Primary practice address
5974 Fashion Point Dr Ste 110 Ogden UT 84403-4712
Phone: (801) 917-2270
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X C55447 California
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD34076 Tennessee
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 24914 Oklahoma

Profile Details

NPI number 1205803897
LBN Legal business name Isaeff, Shawn Dale
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated Oct 18th, 2022 - about 2 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 1205803897 NPPES
Oklahoma Other 247622001 MEDICARE
Oklahoma MEDICAID 200084140A MEDICARE
Oklahoma MEDICAID 3850918 MEDICARE
Oklahoma Other P00345589 MEDICARE
Oklahoma Other 247622002 MEDICARE

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