Anderson, Shane Blake

Anderson, Shane Blake is an sole proprietor health care provider with primary practice located at 3551 Roger Brooke Dr Brooke Army Medical Center, Fort Sam Houston TX 78234-4504. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Nuclear Medicine, Allopathic & Osteopathic Physicians / Nuclear Imaging & Therapy. Allopathic & Osteopathic Physicians / Nuclear Medicine is his primary health care specialty. Anderson, Shane Blake can be contacted via phone (210) 916-4062.

Contact Information

Primary practice address
3551 Roger Brooke Dr Brooke Army Medical Center Fort Sam Houston TX 78234-4504
Phone: (210) 916-4062
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 378 Nebraska
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X 328507-1204 Utah
Allopathic & Osteopathic Physicians / Nuclear Imaging & Therapy 207UN0902X 378 Nebraska

Profile Details

NPI number 1144208661
LBN Legal business name Anderson, Shane Blake
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2006
Last updated Dec 19th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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