Shearer, Carson

Shearer, Carson is an individual health care provider with primary practice located at 20 12Th Ave Nw , Ardmore OK 73401-5722. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Shearer, Carson can be contacted via phone (580) 223-3411.

Contact Information

Primary practice address
20 12Th Ave Nw Ardmore OK 73401-5722
Phone: (580) 223-3411
Fax: (580) 226-6213
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 5339 Oklahoma
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 5339 Oklahoma

Profile Details

NPI number 1093037087
LBN Legal business name Shearer, Carson
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2010
Last updated Oct 5th, 2016 - about 9 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 1093037087 NPPES
Oklahoma MEDICAID 200494610A

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