Blynn L Shideler Md Pc

LBN: Blynn L Shideler Md Pc
Blynn L Shideler Md Pc is an health care organization with primary practice located at 5 Lower Ragsdale Dr Suite 101, Monterey CA 93940-5817. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Blynn L Shideler Md Pc can be contacted via phone (425) 996-1001, or through Shideler, Blynn L via phone (425) 996-1001.

Contact Information

Primary practice address
5 Lower Ragsdale Dr Suite 101 Monterey CA 93940-5817
Phone: (425) 996-1001
Fax: (206) 600-5033
Website:
Map and Directions
Authorized official contact:
Name: Shideler, Blynn L Doctor of Medicine (MD)
Phone: (425) 996-1001

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X G23099 California
Allopathic & Osteopathic Physicians / Surgery 208600000X MD00045810 Washington

Profile Details

NPI number 1497953921
LBN Legal business name Blynn L Shideler Md Pc
DBA Doing business as
Authorized official Shideler, Blynn L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 5th, 2007
Last updated Mar 4th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497953921 NPPES
California MEDICAID 9670018
California Other 1265524912

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