Mccarthy, Shane Erin

Mccarthy, Shane Erin is an individual health care provider with primary practice located at 2685 Dublin Blvd 3Rd Floor, Colorado Springs CO 80918-1358. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mccarthy, Shane Erin can be contacted via phone (719) 592-9890.

Contact Information

Primary practice address
2685 Dublin Blvd 3Rd Floor Colorado Springs CO 80918-1358
Fax: (719) 592-9890
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A-1212-03 New Mexico
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 40209 Colorado

Profile Details

NPI number 1629073150
LBN Legal business name Mccarthy, Shane Erin
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated May 29th, 2008 - about 16 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 1629073150 NPPES
Colorado MEDICAID 52736849
Colorado MEDICAID 61582361

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