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:
Health care specialties
| Specialty | Code | License # | 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 10 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 | 1730141391 | NPPES |
| Florida | MEDICAID | 275021000 |
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