Individual
DR. ALEXIS E SHANAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-5015
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
47626
CO
207R00000X
Internal Medicine Physician
Primary
M11630
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376665471
—
ID
05
—
1376665471
—
WY
05
—
91081858
—
NM
05
—
98175092
—
CO
Enumeration date
04/06/2007
Last updated
02/04/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us