Shellenberger, Thomas

Shellenberger, Thomas is an individual health care provider with primary practice located at 2946 E Banner Gateway Dr #450, Gilbert AZ 85234-2165. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Oncology, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgical Oncology is his primary health care specialty. Shellenberger, Thomas can be contacted via phone (480) 256-6444.

Contact Information

Primary practice address
2946 E Banner Gateway Dr #450 Gilbert AZ 85234-2165
Phone: (480) 256-6444
Fax: (480) 256-4734
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 46704 Arizona
Allopathic & Osteopathic Physicians / Surgery 208600000X 46704 Arizona

Profile Details

NPI number 1730141391
LBN Legal business name Shellenberger, Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Mar 16th, 2015 - about 9 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 1730141391 NPPES
Florida MEDICAID 275021000

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