Mctighe, Shane P

Mctighe, Shane P is an individual health care provider with primary practice located at 6600 Van Aalst Blvd , Fort Benning GA 31905-2102. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Mctighe, Shane P can be contacted via phone (762) 408-3384.

Contact Information

Primary practice address
6600 Van Aalst Blvd Fort Benning GA 31905-2102
Phone: (762) 408-3384
Fax: (762) 408-8113
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Dermatology 207N00000X Q9194 Texas

Profile Details

NPI number 1750763397
LBN Legal business name Mctighe, Shane P
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2015
Last updated Aug 5th, 2022 - about 2 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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