MEDICARE: PAUL E SHINGLEDECKER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	42849	MT
2	208M00000X	Hospitalist Physician	42849	MT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245210392
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL E SHINGLEDECKER M.D.

Provider Business Mailing Address
First Line	:	1200 WESTWOOD DR
Second Line	:
City	:	HAMILTON
State	:	MT
Zip	:	59840-2345
Country	:	US
Telephone Number	:	406-363-2211
Fax Number	:	406-375-4846

Provider Business Practice Location Address
First Line	:	1200 WESTWOOD DR
Second Line	:
City	:	HAMILTON
State	:	MT
Zip	:	59840-2345
Country	:	US
Telephone Number	:	406-363-2211
Fax Number	:	406-375-4846

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/17/2006
Last Update Date	:	04/25/2024

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