Shackelton, Jeffrey B
Shackelton, Jeffrey B is an individual health care provider with primary practice located at 640 W. Moana Lane , Reno NV 89509. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Shackelton, Jeffrey B can be contacted via phone (775) 324-0699.Contact Information
Primary practice address
640 W. Moana Lane
Reno NV 89509
Phone: (775) 324-0699
Fax: (775) 323-6814
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | MD185082 | Oregon |
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 14618 | Nevada |
Profile Details
NPI number | 1699902726 |
---|---|
LBN Legal business name | Shackelton, Jeffrey B |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 16th, 2009 |
Last updated | Nov 9th, 2021 - about 4 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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