Shattuck, O. Howard

Shattuck, O. Howard is an individual health care provider with primary practice located at 11370 Anderson St Ste 2100, Loma Linda CA 92354-3450. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Shattuck, O. Howard can be contacted via phone (909) 558-2822.

Contact Information

Primary practice address
11370 Anderson St Ste 2100 Loma Linda CA 92354-3450
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA10544 California

Profile Details

NPI number 1568569598
LBN Legal business name Shattuck, O. Howard
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Sep 24th, 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.

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