Shahan, Charles Patrick

Shahan, Charles Patrick is an sole proprietor health care provider with primary practice located at 600 Highland Ave , Madison WI 53792-4402. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Trauma Surgery is his primary health care specialty. Shahan, Charles Patrick can be contacted via phone (608) 263-7502.

Contact Information

Primary practice address
600 Highland Ave Madison WI 53792-4402
Phone: (608) 263-7502
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 73380 Wisconsin
Allopathic & Osteopathic Physicians / Surgery 208600000X S1265 Texas
Allopathic & Osteopathic Physicians / Surgery 208600000X 73380 Wisconsin

Profile Details

NPI number 1033477070
LBN Legal business name Shahan, Charles Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 27th, 2012
Last updated Feb 8th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1033477070 NPPES
Texas MEDICAID 401321101
Texas Other 401321102

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