Individual
STEVEN C. SHIFFLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5176 HILL ROAD E., LAKEPORT, CA 95453-6300
(707) 262-5000
Mailing address
P.O. BOX 12289, WESTMINSTER, CA 92685-2289
(877) 818-6101
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
G58128
CA
207P00000X
Emergency Medicine Physician
G58128
CA
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
G58128
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G581280
—
CA
Enumeration date
08/09/2006
Last updated
01/11/2023
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