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
Phone: (719) 592-9890
Fax: (719) 592-9890
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1629073150 | NPPES |
Colorado | MEDICAID | 52736849 | |
Colorado | MEDICAID | 61582361 |
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