Lourey, Shane J

Lourey, Shane J is an individual health care provider with primary practice located at 1820 2Nd Ave Se Ste 360 , Cambridge MN 55008-4155. He recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as his primary health care specialty. Lourey, Shane J can be contacted via phone (763) 689-3226.

Contact Information

Primary practice address
1820 2Nd Ave Se Ste 360 Cambridge MN 55008-4155
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 2896 Minnesota

Profile Details

NPI number 1366178030
LBN Legal business name Lourey, Shane J
Credentials HID
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2022
Last updated Jul 26th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1366178030 NPPES
Minnesota Other K571176690313 STATE OF MN

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