Legarreta, Shel-Don

Legarreta, Shel-Don is an individual health care provider with primary practice located at 1920 E Baseline Rd , Tempe AZ 85283-1511. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Legarreta, Shel-Don can be contacted via phone (480) 345-5000.

Contact Information

Primary practice address
1920 E Baseline Rd Tempe AZ 85283-1511
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25100 Arizona

Profile Details

NPI number 1902886377
LBN Legal business name Legarreta, Shel-Don
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Jul 8th, 2007 - about 18 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 1902886377 NPPES
Arizona MEDICAID 390203

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