Mcshane, Patrick
Mcshane, Patrick is an individual health care provider with primary practice located at 2425 W Cornerstone Ct Ste A , Peoria IL 61614-2495. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Mcshane, Patrick can be contacted via phone (309) 692-3000.Contact Information
Primary practice address
2425 W Cornerstone Ct Ste A
Peoria IL 61614-2495
Phone: (309) 692-3000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 2013043435 | Missouri |
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 021002642 | Illinois |
Profile Details
| NPI number | 1770907032 |
|---|---|
| LBN Legal business name | Mcshane, Patrick |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2014 |
| Last updated | May 25th, 2021 - 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.
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