Anderson, Shane M

Anderson, Shane M is an sole proprietor health care provider with primary practice located at 402 S 4Th Ave , Yakima WA 98902-3546. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Pharmacy Service Providers / Psychiatric. Pharmacy Service Providers / Psychiatric is his primary health care specialty. Anderson, Shane M can be contacted via phone (509) 575-4084.

Contact Information

Primary practice address
402 S 4Th Ave Yakima WA 98902-3546
Phone: (509) 575-4084
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X Washington
Pharmacy Service Providers / Psychiatric 1835P1300X PH60215206 Washington

Profile Details

NPI number 1639461635
LBN Legal business name Anderson, Shane M
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 9th, 2011
Last updated Jul 1st, 2011 - about 13 years ago

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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