Drew, Shane
Drew, Shane is an sole proprietor health care provider with primary practice located at 1821 N Trekell Rd Ste 9 , Casa Grande AZ 85122-1705. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Drew, Shane can be contacted via phone (520) 374-2400.Contact Information
Primary practice address
1821 N Trekell Rd Ste 9
Casa Grande AZ 85122-1705
Phone: (520) 374-2400
Fax: (520) 836-7469
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | DE60477540 | Washington |
Dental Providers / General Practice | 1223G0001X | D011462 | Arizona |
Profile Details
NPI number | 1225443336 |
---|---|
LBN Legal business name | Drew, Shane |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 26th, 2014 |
Last updated | Jan 4th, 2023 - about 2 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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