Mcshane, Mark R

Mcshane, Mark R is an sole proprietor health care provider with primary practice located at 1111 W Centre Ave , Portage MI 49024-5317. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, which is considered as his primary health care specialty. Mcshane, Mark R can be contacted via phone (269) 324-0301.

Contact Information

Primary practice address
1111 W Centre Ave Portage MI 49024-5317
Phone: (269) 324-0301
Fax: (269) 324-2387
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X

Profile Details

NPI number 1689700338
LBN Legal business name Mcshane, Mark R
Credentials AU.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 26th, 2007
Last updated Sep 12th, 2013 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1689700338 NPPES
Michigan Other 64OC91290 BLUE CROSS AUDIOLOGY
Michigan MEDICAID 804836453 BLUE CROSS AUDIOLOGY

Popular Providers