Shakstad, Paul Anthony

Shakstad, Paul Anthony is an individual health care provider with primary practice located at 5700 E Highway 90 , Sierra Vista AZ 85635-9110. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Shakstad, Paul Anthony can be contacted via phone (520) 263-2000.

Contact Information

Primary practice address
5700 E Highway 90 Sierra Vista AZ 85635-9110
Phone: (520) 263-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 6821 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-2570 Idaho

Profile Details

NPI number 1568974632
LBN Legal business name Shakstad, Paul Anthony
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2017
Last updated Aug 21st, 2023 - about 2 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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