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Contact Information

SHANE R RALL, MD
230 E MARYDALE AVE
SOLDOTNA, AK99669-7648
 Phone: 907-262-3119
 Fax: 907-262-9290
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for SHANE R RALL · (Male)

NPI # 1538693049
Status Active
Credentials MD
Entity Individual
Enumeration date 04/12/2017
Last updated 08/16/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • AK License # 175089
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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