Martin, Shane Evander

Martin, Shane Evander is an sole proprietor health care provider with primary practice located at 11835 Rt 9W , West Coxsackie NY 12192-3605. He recently has only one registered license in Ambulatory Health Care Facilities / Urgent Care, which is considered as his primary health care specialty. Martin, Shane Evander can be contacted via phone (518) 264-9000.

Contact Information

Primary practice address
11835 Rt 9W West Coxsackie NY 12192-3605
Phone: (518) 264-9000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Urgent Care 261QU0200X

Profile Details

NPI number 1043949175
LBN Legal business name Martin, Shane Evander
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 2022
Last updated Mar 8th, 2023 - about 2 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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