Caudill, Shane

Caudill, Shane is an sole proprietor health care provider with primary practice located at 2600 W Main St , Belleville IL 62226-6651. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Caudill, Shane can be contacted via phone (618) 239-6109.

Contact Information

Primary practice address
2600 W Main St Belleville IL 62226-6651
Phone: (618) 239-6109
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1073900650
LBN Legal business name Caudill, Shane
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 21st, 2015
Last updated Apr 21st, 2015 - 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.

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