SHAUN RYAN EGLY IDC NPI 1710607494

NPI Information

NPI: 1710607494
Provider Name: SHAUN RYAN EGLY, IDC
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA
ZIP 92134
Phone: (619) 532-5110
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Shaun Ryan Egly, IDC is a student in an organized health care education training program in San Diego, CA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Shaun Ryan Egly, IDC NPI is 1710607494. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA
ZIP 92134-000
Phone: (619) 532-5110

The enumeration date for this NPI number is 9/1/2022 and was last updated on 9/1/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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