Sidransky, Shon Marcos

Sidransky, Shon Marcos is an sole proprietor health care provider with primary practice located at 1600 N Rose Ave , Oxnard CA 93030-3722. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Sidransky, Shon Marcos can be contacted via phone (805) 988-2843.

Contact Information

Primary practice address
1600 N Rose Ave Oxnard CA 93030-3722
Phone: (805) 988-2843
Fax: (805) 988-2844
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A91030 California

Profile Details

NPI number 1285646448
LBN Legal business name Sidransky, Shon Marcos
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 13th, 2006
Last updated Apr 13th, 2009 - about 15 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 1285646448 NPPES
California MEDICAID 00A910300
California MEDICAID 1285646448

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