Lively, Shane

Lively, Shane is an individual health care provider with primary practice located at 2333 Maccorkle Ave , Saint Albans WV 25177-2073. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Lively, Shane can be contacted via phone (681) 378-5026.

Contact Information

Primary practice address
2333 Maccorkle Ave Saint Albans WV 25177-2073
Phone: (681) 378-5026
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1396473708
LBN Legal business name Lively, Shane
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2022
Last updated Aug 12th, 2022 - 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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