Individual
SARA L. SHAINHOLTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 AIRPORT RD, RIFLE, CO 81650-8510
(970) 625-1510
Mailing address
PO BOX 173862, DENVER, CO 80217-3862
(303) 306-7783
(303) 306-7753
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1720
CO
363A00000X
Physician Assistant
Primary
PA.0001720
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
66405742
—
CO
01
—
P00445249
RAILROAD MEDICARE
CO
Enumeration date
01/05/2006
Last updated
07/21/2022
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