Shover, Daniel
Shover, Daniel is an individual health care provider with primary practice located at Pmg Cedar Pediatric Gi 201 Cedar Se Suite 302, Albuquerque NM 87106. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is his primary health care specialty. Shover, Daniel can be contacted via phone (505) 563-6550.Contact Information
Primary practice address
Pmg Cedar Pediatric Gi 201 Cedar Se Suite 302
Albuquerque NM 87106
Phone: (505) 563-6550
Fax: (505) 563-6551
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | MD2005-0835 | New Mexico |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD2005-0835 | New Mexico |
Profile Details
| NPI number | 1447242839 |
|---|---|
| LBN Legal business name | Shover, Daniel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2005 |
| Last updated | Jan 19th, 2016 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447242839 | NPPES |
| New Mexico | MEDICAID | 99752719 |
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