Shadbolt, Harvey R

Shadbolt, Harvey R is an individual health care provider with primary practice located at 1501 S Coulter St , Amarillo TX 79106-1770. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Shadbolt, Harvey R can be contacted via phone (806) 354-1000.

Contact Information

Primary practice address
1501 S Coulter St Amarillo TX 79106-1770
Phone: (806) 354-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 231247 Texas

Profile Details

NPI number 1225088396
LBN Legal business name Shadbolt, Harvey R
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Jul 2nd, 2008 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1225088396 NPPES
Texas MEDICAID 088863802
Texas Other 430028516

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