Trask, Shawn D.

Trask, Shawn D. is an individual health care provider with primary practice located at 8104 Seaton Pl , Montgomery AL 36116-7204. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Trask, Shawn D. can be contacted via phone (334) 272-3889.

Contact Information

Primary practice address
8104 Seaton Pl Montgomery AL 36116-7204
Phone: (334) 272-3889
Fax: (334) 272-4089
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X TP873 Kentucky
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 20926 Tennessee
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 33419 Alabama

Profile Details

NPI number 1972602902
LBN Legal business name Trask, Shawn D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated May 4th, 2020 - about 5 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 1972602902 NPPES
Kentucky MEDICAID 7100095850 INDIVIDUA
Kentucky MEDICAID 3056158
Kentucky MEDICAID 180920
Kentucky MEDICAID 65927394 GROUP

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