Crockett, David Shan

Crockett, David Shan is an individual health care provider with primary practice located at 911 Sunset Dr , Hollister CA 95023-5602. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Psychiatry, which is considered as his primary health care specialty. Crockett, David Shan can be contacted via phone (831) 637-5771.

Contact Information

Primary practice address
911 Sunset Dr Hollister CA 95023-5602
Fax: (831) 638-9040
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X G21002 California

Profile Details

NPI number 1376605535
LBN Legal business name Crockett, David Shan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2006
Last updated Jul 8th, 2007 - about 19 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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