Van, Shirley Lynne
Van, Shirley Lynne is an sole proprietor health care provider with primary practice located at 1429 College Ave Suite B, Modesto CA 95350-4046. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Van, Shirley Lynne can be contacted via phone (209) 526-2242.Contact Information
Primary practice address
1429 College Ave Suite B
Modesto CA 95350-4046
Phone: (209) 526-2242
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 036164415 | Illinois |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | G51607 | California |
Profile Details
| NPI number | 1063530749 |
|---|---|
| LBN Legal business name | Van, Shirley Lynne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 27th, 2007 |
| Last updated | May 10th, 2024 - about 7 months 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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