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Contact Information

STEPHEN W SHANKS, DO
PO BOX 160
US HIGHWAY 490 N
SHIPROCK, NM87420
 Phone: 505-368-6001
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for STEPHEN W SHANKS · (Male)

NPI Number 1114346129
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/08/2014
Last updated 06/06/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • NC License # 2015-01973
  • NM License # DO2022-0050
Hospital affiliation(s)
  • NORTHERN NAVAJO MEDICAL CENTER - (Acute Care)
    US HWY 491 NORTH
    SHIPROCK, NM 87420
  • SAN JUAN REGIONAL MEDICAL CENTER - (Acute Care)
    801 WEST MAPLE STREET
    FARMINGTON, NM 87401
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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