Mccauley, Shane Nathaniel

Mccauley, Shane Nathaniel is an sole proprietor health care provider with primary practice located at 6051 W Emerald St , Boise ID 83704. He recently has 4 registered licenses in different health care specialties including Other Service Providers / Military Health Care Provider, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Aerospace Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Occupational Medicine is his primary health care specialty. Mccauley, Shane Nathaniel can be contacted via phone (208) 302-7600.

Contact Information

Primary practice address
6051 W Emerald St Boise ID 83704
Phone: (208) 302-7600
Fax: (208) 302-7605
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Military Health Care Provider 171000000X 01059435A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01059435A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M-14730 Idaho
Allopathic & Osteopathic Physicians / Aerospace Medicine 2083A0100X 01059435A Indiana
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X M-14730 Idaho

Profile Details

NPI number 1083603229
LBN Legal business name Mccauley, Shane Nathaniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 20th, 2005
Last updated Nov 5th, 2019 - about 5 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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