Hernesman, Shane Christopher

Hernesman, Shane Christopher is an sole proprietor health care provider with primary practice located at 650 S Courtenay Pkwy Suite 100, Merritt Island FL 32952-4977. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hernesman, Shane Christopher can be contacted via phone (321) 453-5888.

Contact Information

Primary practice address
650 S Courtenay Pkwy Suite 100 Merritt Island FL 32952-4977
Phone: (321) 453-5888
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME83457 Florida

Profile Details

NPI number 1952412652
LBN Legal business name Hernesman, Shane Christopher
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Jul 8th, 2007 - about 18 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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