Ahlstrom, Shane Michael
Ahlstrom, Shane Michael is an sole proprietor health care provider with primary practice located at 1093 Royal Ct , Medford OR 97504-6130. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Ahlstrom, Shane Michael can be contacted via phone (541) 773-7273.Contact Information
Primary practice address
1093 Royal Ct
Medford OR 97504-6130
Phone: (541) 773-7273
Fax: (541) 773-2027
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MD191421 | Oregon |
Profile Details
| NPI number | 1447637467 |
|---|---|
| LBN Legal business name | Ahlstrom, Shane Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 28th, 2015 |
| Last updated | Aug 1st, 2019 - about 7 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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