Shackford, Steven R.

Shackford, Steven R. is an sole proprietor health care provider with primary practice located at 550 Washington St. Suite 641, San Diego CA 92103-2229. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Shackford, Steven R. can be contacted via phone (619) 299-2600.

Contact Information

Primary practice address
550 Washington St. Suite 641 San Diego CA 92103-2229
Phone: (619) 299-2600
Fax: (619) 299-3923
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X G29279 California
Allopathic & Osteopathic Physicians / Surgery 208600000X G29279 California

Profile Details

NPI number 1144244419
LBN Legal business name Shackford, Steven R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2006
Last updated Apr 12th, 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.

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