Mcclinton, Shane Michael
Mcclinton, Shane Michael is an individual health care provider with primary practice located at 3200 Grand Ave , Des Moines IA 50312-4104. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Mcclinton, Shane Michael can be contacted via phone (515) 271-1717.Contact Information
Primary practice address
3200 Grand Ave
Des Moines IA 50312-4104
Phone: (515) 271-1717
Fax: (515) 271-7185
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 03284 | Iowa |
Profile Details
NPI number | 1952393696 |
---|---|
LBN Legal business name | Mcclinton, Shane Michael |
Credentials | Physical Therapist (PT) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 18th, 2005 |
Last updated | Feb 19th, 2020 - about 4 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 | 1952393696 | NPPES |
Iowa | MEDICAID | 0282970 | |
Iowa | Other | 650025696 |
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