Marshall, Shane
Marshall, Shane is an sole proprietor health care provider with primary practice located at 4813 S 187Th East Ave , Tulsa OK 74134-7203. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Marshall, Shane can be contacted via phone (208) 371-5536.Contact Information
Primary practice address
4813 S 187Th East Ave
Tulsa OK 74134-7203
Phone: (208) 371-5536
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 4925 | Oklahoma |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | DO184177 | Oregon |
Profile Details
NPI number | 1073819314 |
---|---|
LBN Legal business name | Marshall, Shane |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 3rd, 2011 |
Last updated | Oct 4th, 2017 - about 7 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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