Shook, Allan Abraham

Shook, Allan Abraham is an individual health care provider with primary practice located at 18433 Roscoe Blvd Suite 202, Northridge CA 91325-4108. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Internal Medicine. Other Service Providers / Specialist is his primary health care specialty. Shook, Allan Abraham can be contacted via phone (818) 349-1262.

Contact Information

Primary practice address
18433 Roscoe Blvd Suite 202 Northridge CA 91325-4108
Phone: (818) 349-1262
Fax: (818) 349-7529
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G37176 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G37176 California

Profile Details

NPI number 1053387886
LBN Legal business name Shook, Allan Abraham
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Jul 1st, 2014 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053387886 NPPES
California MEDICAID 00G371760

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