Shackelford, Alan

Shackelford, Alan is an individual health care provider with primary practice located at 14001 E Iliff Ave Suite 118, Aurora CO 80014-1405. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Shackelford, Alan can be contacted via phone (303) 778-1131.

Contact Information

Primary practice address
14001 E Iliff Ave Suite 118 Aurora CO 80014-1405
Phone: (303) 778-1131
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 33551 Colorado

Profile Details

NPI number 1699982686
LBN Legal business name Shackelford, Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2007
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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1699982686 NPPES
Colorado Other 33551 STATE LICENSE NUMBER

Popular Providers