Shackelford, Michele B
Shackelford, Michele B is an individual health care provider with primary practice located at 475 S Dobson Rd , Chandler AZ 85224-5605. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as her primary health care specialty. Shackelford, Michele B can be contacted via phone (480) 917-1648.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 25735 | Arizona |
Profile Details
| NPI number | 1811079940 |
|---|---|
| LBN Legal business name | Shackelford, Michele B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2006 |
| Last updated | Feb 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811079940 | NPPES |
| Arizona | Other | AZ0736120 | BC/BS |
| Arizona | MEDICAID | 398140-08 | BC/BS |
Popular Providers
-
Lee, Alice
475 S Dobson Rd , Chandler AZ 85224-5605 -
Davila, Antonio
475 S Dobson Rd , Chandler AZ 85224-5605 -
Mattison, Erik
475 S Dobson Rd , Chandler AZ 85224-5605 -
Barrali, Robert
475 S Dobson Rd , Chandler AZ 85224-5605 -
Messer, Judy
475 S Dobson Rd , Chandler AZ 85224-5605 -
Mchale, Paul
475 S Dobson Rd , Chandler AZ 85224-5605 -
Sierzenski, Ronald
475 S Dobson Rd , Chandler AZ 85224-5605 -
Tiffany, Brian
475 S Dobson Rd , Chandler AZ 85224-5605