Shackelford, James Ryan

Shackelford, James Ryan is an individual health care provider with primary practice located at 777 N Raymond St , Boise ID 83704. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Shackelford, James Ryan can be contacted via phone (208) 514-2500.

Contact Information

Primary practice address
777 N Raymond St Boise ID 83704
Phone: (208) 514-2500
Fax: (208) 375-2217
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X NONE California
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X NONE California
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X M-13301 Idaho

Profile Details

NPI number 1639217359
LBN Legal business name Shackelford, James Ryan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2007
Last updated Dec 20th, 2023 - about last year

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.

Request for update

Popular Providers