Shotkin, Alan M.

Shotkin, Alan M. is an individual health care provider with primary practice located at 1165 Montgomery Dr , Santa Rosa CA 95405-4801. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Shotkin, Alan M. can be contacted via phone (707) 525-5250.

Contact Information

Primary practice address
1165 Montgomery Dr Santa Rosa CA 95405-4801
Phone: (707) 525-5250
Fax: (707) 525-5308
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G70675 California
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X G70675 California

Profile Details

NPI number 1619915717
LBN Legal business name Shotkin, Alan M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619915717 NPPES
California MEDICAID 00G706750

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