Gleaves, Shane Michael
Gleaves, Shane Michael is an individual health care provider with primary practice located at 201 Bjc Saint Peters Dr Ste 200 , Saint Peters MO 63376-3386. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Gleaves, Shane Michael can be contacted via phone (636) 916-9615.Contact Information
Primary practice address
201 Bjc Saint Peters Dr Ste 200
Saint Peters MO 63376-3386
Phone: (636) 916-9615
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2022010386 | Missouri |
Profile Details
| NPI number | 1538897392 |
|---|---|
| LBN Legal business name | Gleaves, Shane Michael |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2022 |
| Last updated | Oct 3rd, 2022 - 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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