Shahan, Patrick
Shahan, Patrick is an individual health care provider with primary practice located at 550 Highway 105 , Monument CO 80132-9125. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Shahan, Patrick can be contacted via phone (719) 488-9860.Contact Information
Primary practice address
550 Highway 105
Monument CO 80132-9125
Phone: (719) 488-9860
Fax: (719) 488-9868
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 28469 | California |
Profile Details
| NPI number | 1396785374 |
|---|---|
| LBN Legal business name | Shahan, Patrick |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Jul 8th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396785374 | NPPES |
| Colorado | MEDICAID | 01284694 |
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