Shale, Christopher M

Shale, Christopher M is an sole proprietor health care provider with primary practice located at 4403 Harrison Blvd Ste 4835, Ogden UT 84403-3271. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Shale, Christopher M can be contacted via phone (801) 387-4750.

Contact Information

Primary practice address
4403 Harrison Blvd Ste 4835 Ogden UT 84403-3271
Phone: (801) 387-4750
Fax: (801) 387-4755
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X N1138 Texas
Allopathic & Osteopathic Physicians / Surgery 208600000X N1138 Texas
Allopathic & Osteopathic Physicians / General Practice 208D00000X N1138 Texas
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 8501536-1205 Utah

Profile Details

NPI number 1962478636
LBN Legal business name Shale, Christopher M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 23rd, 2006
Last updated Aug 12th, 2021 - about 3 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 1962478636 NPPES
Utah Other U000078865 PTAN

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