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Contact Information

SHANE ASHBAUGH
38690 STIVERS ST STE A
FREMONT, CA94536-5276
 Phone: 510-248-1040
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Orthopaedic Assistant

246ZX2200X
 

Surgical Assistant

246ZC0007X
Indicates primary specialty

NPI Profile & details for SHANE ASHBAUGH · (Male)

NPI Number 1821635467
Status Active
Credentials
Entity Individual
Enumeration date 12/03/2019
Last updated 07/29/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 58356
Hospital affiliation(s)
  • WASHINGTON HOSPITAL - (Acute Care)
    2000 MOWRY AVE
    FREMONT, CA 94538
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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