Shacklette, Alex H.

Shacklette, Alex H. is an individual health care provider with primary practice located at Eccles Institute Of Human Genetics: 15 N Medical Dr Rm , Salt Lake City UT 84112-4108. 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 / Molecular Genetic Pathology. Allopathic & Osteopathic Physicians / Molecular Genetic Pathology is his primary health care specialty. Shacklette, Alex H. can be contacted via phone (801) 581-2121.

Contact Information

Primary practice address
Eccles Institute Of Human Genetics: 15 N Medical Dr Rm Salt Lake City UT 84112-4108
Phone: (801) 581-2121
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Indiana
Allopathic & Osteopathic Physicians / Molecular Genetic Pathology 207ZP0007X 14188290-1205 Utah

Profile Details

NPI number 1700440252
LBN Legal business name Shacklette, Alex H.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2019
Last updated Mar 11th, 2025 - about last year

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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