Van, Shirley Lynne

Van, Shirley Lynne is an sole proprietor health care provider with primary practice located at 1429 College Ave Suite B, Modesto CA 95350-4046. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Van, Shirley Lynne can be contacted via phone (209) 526-2242.

Contact Information

Primary practice address
1429 College Ave Suite B Modesto CA 95350-4046
Phone: (209) 526-2242
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 036164415 Illinois
Allopathic & Osteopathic Physicians / Dermatology 207N00000X G51607 California

Profile Details

NPI number 1063530749
LBN Legal business name Van, Shirley Lynne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 27th, 2007
Last updated May 10th, 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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