SearchIdaho101YM0800X

Shon Shuldberg, LCSW

NPI 1326212002 · on the registry since 2008

Practice

Address
1277 E 17th St
Idaho Falls, ID 83404
Phone
(208) 523-0787
Fax
(208) 523-3175
Organisation at this address
Foot & Ankle Specialists Of Idaho, P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
1041C0700X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-06-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho