SHAWN M LETARTE M.D. NPI 1720132004

NPI Information

NPI: 1720132004
Provider Name: SHAWN M LETARTE, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual

PECOS Registration: Yes

Address:
401 W GREENLAWN
LANSING, MI
ZIP 48910
Phone: (517) 487-1288
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Shawn M Letarte, M.D. is a specialist in Lansing, MI with 27 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Shawn M Letarte, M.D. NPI is 1720132004. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1997

The provider's business location address is:

401 W GREENLAWN
LANSING, MI
ZIP 48910
Phone: (517) 487-1288
Fax: (517) 487-1129

The NPI 1720132004 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/23/2007 and was last updated on 6/16/2013.

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	207P00000X	Emergency Medicine		4301070473	MICHIGAN	No
2	174400000X	Specialist		4301070473	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	382168683	OTHER	MICHIGAN	TAX ID
2	H11881	MEDICARE UPIN	MICHIGAN
3	4301070473	OTHER	MICHIGAN	MEDICAL LICENSE
4	4188630	MEDICAID	MICHIGAN
5	C37612027	MEDICARE PIN

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: 4/28/2024

NPI Synchronization or Removal

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