Nakamura, Shawn Jett
Nakamura, Shawn Jett is an individual health care provider with primary practice located at 4112 Outlook Blvd Ste 37 , Pueblo CO 81008-1667. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Nakamura, Shawn Jett can be contacted via phone (719) 562-6254.Contact Information
Primary practice address
4112 Outlook Blvd Ste 37
Pueblo CO 81008-1667
Phone: (719) 562-6254
Fax: (719) 562-6255
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 44158 | Colorado |
Profile Details
| NPI number | 1063497246 |
|---|---|
| LBN Legal business name | Nakamura, Shawn Jett |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 12th, 2005 |
| Last updated | Jul 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063497246 | NPPES |
| Colorado | MEDICAID | 28624777 | |
| Colorado | Other | P00031174 |
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