Boeker, Shane Kyle

Boeker, Shane Kyle is an sole proprietor health care provider with primary practice located at 1801 E 51St St , Austin TX 78723-3434. He recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as his primary health care specialty. Boeker, Shane Kyle can be contacted via phone (512) 474-2662.

Contact Information

Primary practice address
1801 E 51St St Austin TX 78723-3434
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X 30035567 Texas

Profile Details

NPI number 1326637505
LBN Legal business name Boeker, Shane Kyle
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 13th, 2021
Last updated Jan 13th, 2021 - 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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