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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Popular Providers