Tolbert, Shaun David

Tolbert, Shaun David is an sole proprietor health care provider with primary practice located at 530 Nw 27Th St , Corvallis OR 97330-5223. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Tolbert, Shaun David can be contacted via phone (541) 766-6835.

Contact Information

Primary practice address
530 Nw 27Th St Corvallis OR 97330-5223
Phone: (541) 766-6835
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 201906152NP-PP Oregon

Profile Details

NPI number 1508164377
LBN Legal business name Tolbert, Shaun David
Credentials DNP, PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 3rd, 2011
Last updated Mar 7th, 2023 - 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 1508164377 NPPES
Oregon Other 363LP0808X TAXONOMY

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