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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

HEIDI M SOLBERG SHANKLE, MD
1615 DELAWARE ST
ST. JOHN EMERGENCY DEPARTMENT
LONGVIEW, WA98632-2367
 Phone: 360-636-4116
 Fax: 360-636-4955
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for HEIDI M SOLBERG SHANKLE · (Female)

NPI # 1003009283
Status Active
Credentials MD
Entity Individual
Enumeration date 08/22/2007
Last updated 04/06/2011 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • WA License # MD 60073277
  • WA Medicaid 8543191
Hospital affiliation(s) Not Available
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.

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