Westergard, Shaun J
Westergard, Shaun J is an individual health care provider with primary practice located at 2001 S Woodruff Ave Ste 9 , Idaho Falls ID 83404-6371. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Westergard, Shaun J can be contacted via phone (208) 419-3002.Contact Information
Primary practice address
2001 S Woodruff Ave Ste 9
Idaho Falls ID 83404-6371
Phone: (208) 419-3002
Fax: (208) 656-5652
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA710 | Idaho |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA-710 | Idaho |
Profile Details
NPI number | 1740461102 |
---|---|
LBN Legal business name | Westergard, Shaun J |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 14th, 2007 |
Last updated | Dec 12th, 2023 - about last year |
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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