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Dr. Carol L Shackleton, MD
Family Medicine Physician in Gothenburg, Nebraska
NPI 1629004759

Carol L Shackleton is a Family Medicine Physician based in Gothenburg, NE. Carol L Shackleton practices in Gothenburg, NE and has the professional credentials of MD. The NPI Number for Carol L Shackleton is 1629004759 and holds a License No. 16620 (Nebraska).

The current practice location address for Carol L Shackleton is 918 20Th Street, Gothenburg, NE and can be reached out via phone at 308-537-7131 and via fax at 308-537-7310.

Location: 918 20Th Street, Gothenburg, NE, 69138-1237
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629004759
Provider Name
Carol L Shackleton
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
918 20Th Street, Gothenburg, NE, 69138-1237
Phone Number
308-537-7131
Fax Number
308-537-7310
Provider Enumeration Date
06/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6366 01 NE MIDLANDS CHOICE
100253852-00 05 NE
11595205 01 NE CAQH
03042 01 NE STATE BC/BS
099905 01 NE MEDICARE GROUP
institution
Provider Business Practice Location Address Details
Address
918 20Th Street
City
Gothenburg
State
Nebraska
Zip
69138-1237
Phone Number
308-537-7131
Fax Number
308-537-7310
person
Provider Business Mailing Address Details
Address
918 20Th Street
City
Gothenburg
State
Nebraska
Zip
69138-1237
Phone Number
308-537-7131
Fax Number
308-537-7310
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
16620 (Nebraska)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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