Shaver, William A

Shaver, William A is an individual health care provider with primary practice located at 2405 Broadway St , Lubbock TX 79401-2918. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Gastroenterology. Other Service Providers / Specialist is his primary health care specialty. Shaver, William A can be contacted via phone (806) 799-3644.

Contact Information

Primary practice address
2405 Broadway St Lubbock TX 79401-2918
Phone: (806) 799-3644
Fax: (806) 791-3204
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G0104 Texas
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X G0104 Texas

Profile Details

NPI number 1598721938
LBN Legal business name Shaver, William A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Mar 14th, 2024 - about 2 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 1598721938 NPPES
Texas MEDICAID 123796801

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