National Provider Identifier Database

TYLER R SHACKELFORD, DO – NPI #1487996427
Critical Care Medicine

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.


Contact Information

TYLER R SHACKELFORD, DO
601 DR MARTIN LUTHER KING JR AVE NE
ALBUQUERQUE, NM87102-3619
Phone: 505-727-8206
Fax:
Website:
Specialty Taxonomy Code
* Critical Care Medicine 207RC0200X
Student in an Organized Health Care Education/Training Program 390200000X

* Indicates primary specialty

NPI Profile & details for TYLER R SHACKELFORD

NPI Number 1487996427
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 03/16/2013
Last updated 03/17/2018 - About 8 years ago
Sole proprietor1 No
Identifiers
  • NM License #: A-20176-16
  • NM License #: R06-2013
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for TYLER R SHACKELFORD, DO

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