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Contact Information

SHANE D ROSTERMUNDT, DO
1430 E MAIN ST
201
SANTA MARIA, CA93454
 Phone: 805-922-3548
 Fax: 805-928-5609
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for SHANE D ROSTERMUNDT · (Male)

NPI # 1396846507
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 09/26/2006
Last updated 01/11/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 20A9637
  • CA Medicaid YYY48371Y
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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