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:
Health care specialties
Specialty | Code | License # | 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 6 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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