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Contact Information

GLEN D SHAPIRO, MD
513 N MAIN ST
HAILEY, ID83333
 Phone: 877-754-6330
 Fax: 877-993-1515
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for GLEN D SHAPIRO · (Male)

NPI # 1336283779
Status Active
Credentials MD
Entity Individual
Enumeration date 02/19/2007
Last updated 05/23/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • ID License # M9172
  • ID Medicaid 0001364855
  • ID Other B6493 BCID
  • ID Other B6493 BLUE CROSS
  • ID Other 11289122 PTAN
  • ID Other P00247850 RAILROAD MEDICARE
  • ID Other 100000294843 REGENCE
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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