Copelan, Shane R

Copelan, Shane R is an individual health care provider with primary practice located at 1727 E 2Nd St , Casper WY 82601-3054. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Copelan, Shane R can be contacted via phone (307) 473-1000.

Contact Information

Primary practice address
1727 E 2Nd St Casper WY 82601-3054
Fax: (307) 473-1014
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 661 Wyoming

Profile Details

NPI number 1205993565
LBN Legal business name Copelan, Shane R
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2007
Last updated Jan 14th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1205993565 NPPES
Wyoming Other 661 STATE CHIROPRACTIC LICENS

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