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Contact Information

ROBERT M SHIDELER, MD
60 MDG/SGOW
101 BODIN CIRCLE
TRAVIS AFB, CA94533
 Phone: 707-423-5174
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for ROBERT M SHIDELER · (Male)

NPI # 1588652408
Status Active
Credentials MD
Entity Individual
Enumeration date 10/13/2005
Last updated 04/11/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 01051251A
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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