Draper, Shane D.

Draper, Shane D. is an individual health care provider with primary practice located at 1995 Errecart Blvd #200, Elko NV 89801-8346. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Draper, Shane D. can be contacted via phone (775) 738-1100.

Contact Information

Primary practice address
1995 Errecart Blvd #200 Elko NV 89801-8346
Phone: (775) 738-1100
Fax: (775) 738-1101
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 9903 Nevada

Profile Details

NPI number 1841272168
LBN Legal business name Draper, Shane D.
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2005
Last updated Jan 23rd, 2013 - about 12 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 1841272168 NPPES
Nevada Other CC3776 BS FEDERAL EMP PROGRAM
Nevada Other NV9903 BS FEDERAL EMP PROGRAM
Nevada MEDICAID 002104006 BS FEDERAL EMP PROGRAM
Nevada Other 480033493 BS FEDERAL EMP PROGRAM

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