Whalen, Shade R

Whalen, Shade R is an individual health care provider with primary practice located at 2115 N Kansas Children & Adolescent Clinic Pc, Hastings NE 68901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Whalen, Shade R can be contacted via phone (402) 463-6828.

Contact Information

Primary practice address
2115 N Kansas Children & Adolescent Clinic Pc Hastings NE 68901
Phone: (402) 463-6828
Fax: (402) 463-4767
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 23753 Nebraska

Profile Details

NPI number 1013929876
LBN Legal business name Whalen, Shade R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2006
Last updated Jan 19th, 2012 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1013929876 NPPES
Nebraska MEDICAID 47063717813

Popular Providers