Hall, Shane Carlos

Hall, Shane Carlos is an sole proprietor health care provider with primary practice located at 318 S Orange St , Media PA 19063-3614. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Low Vision, which is considered as his primary health care specialty. Hall, Shane Carlos can be contacted via phone (610) 566-1400.

Contact Information

Primary practice address
318 S Orange St Media PA 19063-3614
Phone: (610) 566-1400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Low Vision 224ZL0004X OP008316 Pennsylvania

Profile Details

NPI number 1205429073
LBN Legal business name Hall, Shane Carlos
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 12th, 2021
Last updated Feb 12th, 2021 - about 3 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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