Caswell, Shane Vincent

Caswell, Shane Vincent is an individual health care provider with primary practice located at 10900 University Boulevard Katherine Johnson Hall, Msn 4E5, Manassas VA 20110-2203. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Caswell, Shane Vincent can be contacted via phone (703) 993-4638.

Contact Information

Primary practice address
10900 University Boulevard Katherine Johnson Hall, Msn 4E5 Manassas VA 20110-2203
Phone: (703) 993-4638
Fax: (703) 993-2025
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 0126000875 Virginia

Profile Details

NPI number 1619614310
LBN Legal business name Caswell, Shane Vincent
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2022
Last updated May 25th, 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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