Mcmahan, Shira
Mcmahan, Shira is an sole proprietor health care provider with primary practice located at 3801 S Kanner Hwy Ste 200 , Stuart FL 34994-4801. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Mcmahan, Shira can be contacted via phone (772) 419-3810.Contact Information
Primary practice address
3801 S Kanner Hwy Ste 200
Stuart FL 34994-4801
Phone: (772) 419-3810
Fax: (772) 419-3811
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | OS 12230 | Florida |
Profile Details
| NPI number | 1124339247 |
|---|---|
| LBN Legal business name | Mcmahan, Shira |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 23rd, 2010 |
| Last updated | Oct 15th, 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 | 1124339247 | NPPES |
| Florida | MEDICAID | 012309500 | |
| Florida | Other | 14V65 |
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