Speirs, Shawn D

Speirs, Shawn D is an individual health care provider with primary practice located at 3100 Channing Way , Idaho Falls ID 83404-7533. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Speirs, Shawn D can be contacted via phone (208) 227-2575.

Contact Information

Primary practice address
3100 Channing Way Idaho Falls ID 83404-7533
Phone: (208) 227-2575
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X O254 Idaho
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X O254 Idaho

Profile Details

NPI number 1104976653
LBN Legal business name Speirs, Shawn D
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2007
Last updated Sep 20th, 2018 - about 7 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 1104976653 NPPES
Idaho MEDICAID 806046300

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