Cummings, Shane W

Cummings, Shane W is an individual health care provider with primary practice located at 1310 E Dimond Blvd Suite 1, Anchorage AK 99515-2031. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Cummings, Shane W can be contacted via phone (907) 344-2400.

Contact Information

Primary practice address
1310 E Dimond Blvd Suite 1 Anchorage AK 99515-2031
Phone: (907) 344-2400
Fax: (907) 344-2404
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 5887 Alaska
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5887 Alaska

Profile Details

NPI number 1013083286
LBN Legal business name Cummings, Shane W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2006
Last updated Feb 16th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1013083286 NPPES
Alaska MEDICAID 1012003

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