Shideler, Blynn L
Shideler, Blynn L is an individual health care provider with primary practice located at 576 Hartnell St Suite 200, Monterey CA 93940-2833. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Shideler, Blynn L can be contacted via phone (425) 996-1001.Contact Information
Primary practice address
576 Hartnell St Suite 200
Monterey CA 93940-2833
Phone: (425) 996-1001
Fax: (206) 600-5033
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | G23099 | California |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD00045810 | Washington |
Profile Details
| NPI number | 1265524912 |
|---|---|
| LBN Legal business name | Shideler, Blynn L |
| Credentials | M.D., P.C. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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