Lane, John Shackelford
Lane, John Shackelford is an individual health care provider with primary practice located at 200 W Arbor Dr Mailcode 7403, San Diego CA 92103-9000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Lane, John Shackelford can be contacted via phone (858) 657-7404.Contact Information
Primary practice address
200 W Arbor Dr Mailcode 7403
San Diego CA 92103-9000
Phone: (858) 657-7404
Fax: (858) 657-5033
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 000000G81602 | California |
Profile Details
| NPI number | 1043390172 |
|---|---|
| LBN Legal business name | Lane, John Shackelford |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 16th, 2006 |
| Last updated | Apr 4th, 2013 - about 11 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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