Koppenhaver, Shane Lowell

Koppenhaver, Shane Lowell is an individual health care provider with primary practice located at 3851 Roger Brooke Dr (Bamc Mche-Qd/ Credentials), Fort Sam Houston TX 78234-4501. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as his primary health care specialty. Koppenhaver, Shane Lowell can be contacted via phone (210) 916-1920.

Contact Information

Primary practice address
3851 Roger Brooke Dr (Bamc Mche-Qd/ Credentials) Fort Sam Houston TX 78234-4501
Phone: (210) 916-1920
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 2305006682 Virginia

Profile Details

NPI number 1952385163
LBN Legal business name Koppenhaver, Shane Lowell
Credentials MPT, OCS
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Jul 8th, 2007 - about 17 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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