Shasky, Gary L

Shasky, Gary L is an individual health care provider with primary practice located at 5565 Grossmont Center Dr Bldg 3 Ste153, La Mesa CA 91942-3020. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, which is considered as his primary health care specialty. Shasky, Gary L can be contacted via phone (619) 589-5414.

Contact Information

Primary practice address
5565 Grossmont Center Dr Bldg 3 Ste153 La Mesa CA 91942-3020
Phone: (619) 589-5414
Fax: (619) 589-7391
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 1361 California

Profile Details

NPI number 1124050794
LBN Legal business name Shasky, Gary L
Credentials AU.D, F-AAA
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Jun 30th, 2015 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1124050794 NPPES
California MEDICAID 1124050794

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