Brit S Shackley Md Apc

LBN: Brit S Shackley Md Apc
Brit S Shackley Md Apc is an health care organization with primary practice located at 100 W California Blvd , Pasadena CA 91105-3010. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as the primary health care specialty. Brit S Shackley Md Apc can be contacted via phone (626) 397-5667, or through Shackley, Brit via phone (626) 397-5667.

Contact Information

Primary practice address
100 W California Blvd Pasadena CA 91105-3010
Phone: (626) 397-5667
Fax: (626) 397-2156
Website:
Map and Directions
Authorized official contact:
Name: Shackley, Brit Doctor of Medicine (MD)
Phone: (626) 397-5667

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X A107373 California

Profile Details

NPI number 1336497759
LBN Legal business name Brit S Shackley Md Apc
DBA Doing business as
Authorized official Shackley, Brit Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 15th, 2012
Last updated Aug 15th, 2012 - about 14 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 1336497759 NPPES
California Other A107373 CA MED LICENSE

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