Michele B Shackelford in Chandler - Emergency Medical Services
Michele B Shackelford - NPI 1811079940
Michele B Shackelford is a Emergency Medical Services in Chandler, Arizona. Michele B Shackelford practices all healthcare services and medical treatments related to Emergency Medical Services. The NPI Number for Michele B Shackelford is 1811079940. The last update date is 2013-02-08.
Michele B Shackelford's current location address is 475 S Dobson Rd, Chandler, Arizona. You can contact this provider via phone number 4809171648. The mailing address for Michele B Shackelford is 475 S Dobson Rd, Chandler, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michele B Shackelford |
|---|---|
| Address | 475 S Dobson Rd, Chandler, Arizona |
| Phone Number | 4809171648 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1811079940 |
|---|---|
| Provider Enumeration Date | 2006-10-19 |
| Last Updated Date | 2013-02-08 |
Provider Mailing Address Detail
| Address | 475 S Dobson Rd |
|---|---|
| City | Chandler |
| State | Arizona (AZ) |
| Post Code | 852245605 |
| Phone Number | 4809171648 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medical Services |
|---|---|
| Taxonomy | 207Pe0004X |
| Licence No | 25735 |
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Definition: An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| AZ0736120 | AZ | BC/BS | |
| 398140-08 | AZ | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Michele B Shackelford by the Centers for Medicare & Medicaid Services?
The Michele B Shackelford has been issued the NPI (National Provider Identifier) 1811079940, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Michele B Shackelford is located?
The Michele B Shackelford is situated at the following address: 475 S Dobson Rd, Chandler, AZ, 852245605.
What is the Michele B Shackelford's specialty and taxonomy code?
The Michele B Shackelford's specialty is Emergency Medical Services, and the corresponding taxonomy code is 207Pe0004X.
On what date did the Michele B Shackelford receive the assignment of its 1811079940 from the Centers for Medicare & Medicaid Services?
The Michele B Shackelford was issued its 1811079940 by the Centers for Medicare & Medicaid Services on 2006-10-19.
When was the Michele B Shackelford's information last updated?
The Michele B Shackelford's information was last updated on 2013-02-08.