Anderson, Shane Robert

Anderson, Shane Robert is an individual health care provider with primary practice located at 1106 Beechwood St, Hillcrest, , Little Rock AR 72205. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otology & Neurotology, which is considered as his primary health care specialty. Anderson, Shane Robert can be contacted via phone (501) 416-3301.

Contact Information

Primary practice address
1106 Beechwood St, Hillcrest, Little Rock AR 72205
Phone: (501) 416-3301
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otology & Neurotology 207YX0901X E-8143 Arkansas

Profile Details

NPI number 1295168433
LBN Legal business name Anderson, Shane Robert
Credentials MBBS, FRACS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2013
Last updated Aug 12th, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1295168433 NPPES
Arkansas Other E-8143 ARKANSAS STATE LICENSE NUMBER

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