Gurnee, Shane Lawrence
Gurnee, Shane Lawrence is an individual health care provider with primary practice located at 111 Westfall Rd , Rochester NY 14620-4647. He recently has only one registered license in Nursing Service Providers / Case Management, which is considered as his primary health care specialty. Gurnee, Shane Lawrence can be contacted via phone (585) 753-5178.Contact Information
Primary practice address
111 Westfall Rd
Rochester NY 14620-4647
Phone: (585) 753-5178
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Case Management | 163WC0400X | 659843-1 | New York |
Profile Details
| NPI number | 1487902029 |
|---|---|
| LBN Legal business name | Gurnee, Shane Lawrence |
| Credentials | RN BSN |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 28th, 2012 |
| Last updated | Aug 28th, 2012 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487902029 | NPPES |
| New York | MEDICAID | VYT200514960 |
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