Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CAROL L SHACKLETON, M.D.
Active Sole ProprietorDR. CAROL L SHACKLETON, M.D. is a Family Medicine healthcare provider located in GOTHENBURG, Nebraska. NPI 1629004759 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · GOTHENBURG, NE
Registration Details
- NPI Number
- 1629004759
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 23, 2006 (19.959169690345 yrs)
- Last Updated
- Feb 9, 2012
- License
-
16620 (NE)
- Sole Proprietor
- Yes
Practice Information
- Address
-
918 20TH STREETGOTHENBURG, NE, 691381237Browse NE providers · Browse ZIP 69138
- Phone
- 3085377131
- Fax
- 3085377310
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in GOTHENBURG, NE
| Name | Credential | NPI |
|---|---|---|
| GARRET T SHAW | MD | 1871566695 |
| DR. CRAIG DAVID BARTRUFF | M.D. | 1801833660 |
| KAYLA S KNAUSS | D.O. | 1649652306 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.