Lacaillade, Shane A

Lacaillade, Shane A is an individual health care provider with primary practice located at 331 Sijan Ave , Whiteman Afb MO 65305-1269. He recently has only one registered license in Other Service Providers / Independent Duty Medical Technicians, which is considered as his primary health care specialty. Lacaillade, Shane A can be contacted via phone (660) 687-1191.

Contact Information

Primary practice address
331 Sijan Ave Whiteman Afb MO 65305-1269
Phone: (660) 687-1191
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Medical Technicians 1710I1003X

Profile Details

NPI number 1881829497
LBN Legal business name Lacaillade, Shane A
Credentials IDMT
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2009
Last updated May 27th, 2009 - about 15 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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