Graham, Shane Lee
Graham, Shane Lee is an individual health care provider with primary practice located at 915 Highland Blvd , Bozeman MT 59715-6902. 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. Graham, Shane Lee can be contacted via phone (406) 414-1000.Contact Information
Primary practice address
915 Highland Blvd
Bozeman MT 59715-6902
Phone: (406) 414-1000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 623 | Montana |
Profile Details
NPI number | 1376762104 |
---|---|
LBN Legal business name | Graham, Shane Lee |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 24th, 2007 |
Last updated | Mar 22nd, 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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