Becker, Shane Ian

Becker, Shane Ian is an individual health care provider with primary practice located at 33 Capistrano Dr , Ormond Beach FL 32176-2105. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Becker, Shane Ian can be contacted via phone (407) 924-3005.

Contact Information

Primary practice address
33 Capistrano Dr Ormond Beach FL 32176-2105
Phone: (407) 924-3005
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN11020760 Florida

Profile Details

NPI number 1427350743
LBN Legal business name Becker, Shane Ian
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2010
Last updated Jul 21st, 2022 - about 3 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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