Shadur, Craig Alan
Shadur, Craig Alan is an individual health care provider with primary practice located at 1215 Pleasant Street Suite 100, Des Moines IA 50309-1409. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Shadur, Craig Alan can be contacted via phone (515) 241-5710.Contact Information
Primary practice address
1215 Pleasant Street Suite 100
Des Moines IA 50309-1409
Phone: (515) 241-5710
Fax: (515) 241-8004
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 20221 | Iowa |
Profile Details
| NPI number | 1851354674 |
|---|---|
| LBN Legal business name | Shadur, Craig Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1851354674 | NPPES |
| Iowa | MEDICAID | 0030403 |
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