Lebauer, Eugene Shaner

Lebauer, Eugene Shaner is an individual health care provider with primary practice located at 3201 Brassfield Rd Suite 400, Greensboro NC 27410-9682. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as his primary health care specialty. Lebauer, Eugene Shaner can be contacted via phone (336) 282-2300.

Contact Information

Primary practice address
3201 Brassfield Rd Suite 400 Greensboro NC 27410-9682
Fax: (336) 282-0034
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X 14712 North Carolina

Profile Details

NPI number 1326196957
LBN Legal business name Lebauer, Eugene Shaner
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Nov 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1326196957 NPPES
Other 32679 WELLPATH
Other 51330 WELLPATH
Other 0207779 WELLPATH
Other 82551 WELLPATH
MEDICAID 8951330 WELLPATH

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