Shaver, John Stanley
Shaver, John Stanley is an sole proprietor health care provider with primary practice located at 16278 Victor St , Victorville CA 92395-3934. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Shaver, John Stanley can be contacted via phone (760) 245-4035.Contact Information
Primary practice address
16278 Victor St
Victorville CA 92395-3934
Phone: (760) 245-4035
Fax: (760) 245-4035
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 34650 | California |
Profile Details
| NPI number | 1255422002 |
|---|---|
| LBN Legal business name | Shaver, John Stanley |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255422002 | NPPES |
| California | Other | B34650-01 | MEDICAL |
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