Shackelford, Tyler Ray
Shackelford, Tyler Ray is an individual health care provider with primary practice located at 601 Dr Martin Luther King Jr Ave Ne , Albuquerque NM 87102-3619. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Shackelford, Tyler Ray can be contacted via phone (505) 727-8206.Contact Information
Primary practice address
601 Dr Martin Luther King Jr Ave Ne
Albuquerque NM 87102-3619
Phone: (505) 727-8206
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | R06-2013 | New Mexico |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | A-20176-16 | New Mexico |
Profile Details
| NPI number | 1487996427 |
|---|---|
| LBN Legal business name | Shackelford, Tyler Ray |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2013 |
| Last updated | Mar 17th, 2018 - about 8 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.
Popular Providers
-
Boivin, Michel A
5-Acc Msc 10 5550 2211 Lomas Blvd. Ne, Albuquerque NM 87131-0001 -
Sandoval, Vesta
500 Walter Ne Ste 206, Albuquerque NM 87102 -
Groff, Harold Lawrence
University Of New Mexico Medical Center Msc11 6093, Albuquerque NM 87106 -
Guliani, Sundeep
2211 Lomas Blvd Ne Tuv Clinic, 1St Floor, Albuquerque NM 87106-2719 -
Hicks, Cory Joseph
4901 Lang Ave Ne , Albuquerque NM 87109-4495 -
Heynekamp, Theresa Renee
500 Walter St Ne Ste 501 , Albuquerque NM 87102-2521 -
Zamora, Eleana M
Unm Hospital Internal Medicine 2211 Lomas Blvd Ne Msc 10-5550, Albuquerque NM 87131-0001 -
Ahmed, Shozab
Msc10 5550 1 University Of New Mexico, Albuquerque NM 87131-0001