Andrew, Shane A
Andrew, Shane A is an individual health care provider with primary practice located at 4424 E Flamingo Ave Suite 110, Nampa ID 83687. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Andrew, Shane A can be contacted via phone (208) 288-4700.Contact Information
Primary practice address
4424 E Flamingo Ave Suite 110
Nampa ID 83687
Phone: (208) 288-4700
Fax: (208) 288-4720
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | O0443 | Idaho |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | OS9764 | Florida |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | O-0443 | Idaho |
Profile Details
| NPI number | 1356308316 |
|---|---|
| LBN Legal business name | Andrew, Shane A |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Oct 22nd, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356308316 | NPPES |
| Idaho | MEDICAID | 807749400 | |
| Idaho | Other | P00413752 |
Popular Providers
-
Moore, Robert Keith
2831 New Hartford Rd , Owensboro KY 42303-1320 -
Tuttle, Harrison G
3001 Edwards Mill Rd , Raleigh NC 27612-5243 -
Ackerman, Timothy S
820 Sir Thomas Ct , Harrisburg PA 17109-4839 -
Newton, Aaron Franklin
4400 E Flamingo Ave Ste 200 , Nampa ID 83687-1128 -
Johnson, Miers C
4424 E Flamingo Ave Suite 110, Nampa ID 83687 -
Babins, David M
300 State St Ste 400A, Erie PA 16507-1427 -
Nelson, Leonard D
3001 Edwards Mill Rd , Raleigh NC 27612-5243 -
Armstrong, Jared T
9850 St Lukes Dr , Nampa ID 83687-7912