Shrader, David L

Shrader, David L is an sole proprietor health care provider with primary practice located at 110 Hospital Lane , Afton WY 83110. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Shrader, David L can be contacted via phone (307) 855-5852.

Contact Information

Primary practice address
110 Hospital Lane Afton WY 83110
Phone: (307) 855-5852
Fax: (208) 529-0359
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X M3691 Idaho
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X TL802 Wyoming

Profile Details

NPI number 1275615494
LBN Legal business name Shrader, David L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2006
Last updated Jul 6th, 2011 - about 14 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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